Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $7,943.28 / $14,454.40	Facility		$3,548.13	$7,943.28	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,548.13 / $4,168.69 / $7,943.28	Professional		$3,548.13	$4,168.69	$7,943.28
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 $3,801.89 / $7,413.10 / $19,952.62	Professional		$3,801.89	$7,413.10	$19,952.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10,000.00 / $11,748.98 / $18,620.87	Facility		$10,000.00	$11,748.98	$18,620.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6,309.57 / $15,488.17 / $17,378.01	Professional		$6,309.57	$15,488.17	$17,378.01
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $7,413.10 / $13,489.63	Facility		$3,630.78	$7,413.10	$13,489.63
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $6,918.31 / $9,549.93 / $12,022.64	Professional		$6,918.31	$9,549.93	$12,022.64
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $4,265.80 / $8,709.64	Facility		$2,691.53	$4,265.80	$8,709.64
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,890.45 / $6,309.57 / $29,512.09	Professional		$3,890.45	$6,309.57	$29,512.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $5,011.87	Professional		$32.36	$33.11	$5,011.87
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5,495.41 / $10,715.19 / $16,595.87	Professional		$5,495.41	$10,715.19	$16,595.87
Quartz Facility/Professional Facility Modifier Low / Median / High Price $10,000.00 / $56,234.13 / $56,234.13	Facility		$10,000.00	$56,234.13	$56,234.13
Quartz Facility/Professional Professional Modifier Low / Median / High Price $7,079.46 / $19,054.61 / $28,840.32	Professional		$7,079.46	$19,054.61	$28,840.32
Security Health Facility/Professional Professional Modifier Low / Median / High Price $13,489.63 / $13,489.63 / $13,489.63	Professional		$13,489.63	$13,489.63	$13,489.63
Security Health Facility/Professional Professional Modifier Low / Median / High Price $10,964.78 / $22,387.21 / $27,542.29	Professional		$10,964.78	$22,387.21	$27,542.29
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 $3,801.89 / $6,025.60 / $16,595.87	Professional		$3,801.89	$6,025.60	$16,595.87