Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $4,786.30 / $14,454.40	Facility		$2,137.96	$4,786.30	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,511.89 / $4,786.30	Professional		$2,137.96	$2,511.89	$4,786.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,748.98 / $16,218.10 / $27,542.29	Facility		$11,748.98	$16,218.10	$27,542.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $4,466.84 / $12,022.64	Professional		$2,290.87	$4,466.84	$12,022.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,888.44 / $6,918.31 / $11,220.18	Facility		$5,888.44	$6,918.31	$11,220.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,715.35 / $9,120.11 / $10,471.29	Professional		$3,715.35	$9,120.11	$10,471.29
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $6,918.31 / $13,489.63	Facility		$2,511.89	$6,918.31	$13,489.63
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $4,168.69 / $5,754.40 / $7,079.46	Professional		$4,168.69	$5,754.40	$7,079.46
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $3,388.44 / $7,943.28	Facility		$2,187.76	$3,388.44	$7,943.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $4,168.69 / $17,782.79	Professional		$2,511.89	$4,168.69	$17,782.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $3,162.28	Professional		$32.36	$33.11	$3,162.28
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $6,165.95 / $10,000.00	Professional		$3,162.28	$6,165.95	$10,000.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $6,025.60 / $33,884.42 / $33,884.42	Facility		$6,025.60	$33,884.42	$33,884.42
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,265.80 / $11,220.18 / $17,378.01	Professional		$4,265.80	$11,220.18	$17,378.01
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7,943.28 / $7,943.28 / $7,943.28	Professional		$7,943.28	$7,943.28	$7,943.28
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7,585.78 / $13,489.63 / $16,218.10	Professional		$7,585.78	$13,489.63	$16,218.10
United Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $6,165.95 / $19,498.45	Facility		$2,290.87	$6,165.95	$19,498.45
United Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $3,801.89 / $10,000.00	Professional		$2,238.72	$3,801.89	$10,000.00