Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $3,630.78 / $14,454.40	Facility		$1,621.81	$3,630.78	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,995.26 / $5,370.32	Professional		$1,621.81	$1,995.26	$5,370.32
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 $1,698.24 / $3,388.44 / $8,511.38	Professional		$1,698.24	$3,388.44	$8,511.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $5,370.32 / $8,511.38	Facility		$4,570.88	$5,370.32	$8,511.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $6,918.31 / $7,943.28	Professional		$2,691.53	$6,918.31	$7,943.28
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $3,548.13 / $10,000.00	Facility		$1,737.80	$3,548.13	$10,000.00
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $4,265.80 / $5,495.41	Professional		$3,162.28	$4,265.80	$5,495.41
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $2,818.38 / $7,585.78	Facility		$1,737.80	$2,818.38	$7,585.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $3,162.28 / $13,489.63	Professional		$1,905.46	$3,162.28	$13,489.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $2,089.30	Professional		$32.36	$33.11	$2,089.30
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $4,466.84 / $6,760.83	Professional		$2,951.21	$4,466.84	$6,760.83
Quartz Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $19,498.45 / $19,498.45	Facility		$4,570.88	$19,498.45	$19,498.45
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,388.44 / $8,511.38 / $13,182.57	Professional		$3,388.44	$8,511.38	$13,182.57
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,165.95 / $6,165.95 / $6,165.95	Professional		$6,165.95	$6,165.95	$6,165.95
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,754.40 / $10,232.93 / $11,481.54	Professional		$5,754.40	$10,232.93	$11,481.54
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 $1,819.70 / $2,691.53 / $7,413.10	Professional		$1,819.70	$2,691.53	$7,413.10