Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $5,754.40 / $13,182.57	Facility		$2,041.74	$5,754.40	$13,182.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $3,890.45 / $7,244.36	Professional		$1,000.00	$3,890.45	$7,244.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,232.93 / $12,882.50 / $13,182.57	Facility		$10,232.93	$12,882.50	$13,182.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $1,905.46 / $19,054.61	Professional		$1,905.46	$1,905.46	$19,054.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $3,630.78 / $3,630.78	Facility		$3,630.78	$3,630.78	$3,630.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13,182.57 / $15,488.17 / $24,547.09	Facility		$13,182.57	$15,488.17	$24,547.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,495.41 / $6,918.31 / $14,791.08	Professional		$5,495.41	$6,918.31	$14,791.08
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $9,549.93 / $26,915.35	Facility		$2,511.89	$9,549.93	$26,915.35
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $28,840.32 / $28,840.32 / $31,622.78	Professional		$28,840.32	$28,840.32	$31,622.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $4,570.88 / $16,595.87	Facility		$2,511.89	$4,570.88	$16,595.87
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,884.03 / $17,378.01	Professional		$1,995.26	$2,884.03	$17,378.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $70.79 / $4,365.16	Professional		$54.95	$70.79	$4,365.16
Quartz Facility/Professional Professional Modifier Low / Median / High Price $7,413.10 / $11,220.18 / $15,848.93	Professional		$7,413.10	$11,220.18	$15,848.93
Quartz Facility/Professional Facility Modifier Low / Median / High Price $9,549.93 / $9,549.93 / $22,908.68	Facility		$9,549.93	$9,549.93	$22,908.68
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $23,988.33 / $23,988.33	Professional		$2,511.89	$23,988.33	$23,988.33
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,786.30 / $4,786.30 / $10,232.93	Professional		$4,786.30	$4,786.30	$10,232.93
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,786.30 / $4,786.30 / $26,302.68	Professional		$4,786.30	$4,786.30	$26,302.68
United Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $3,801.89 / $5,754.40	Facility		$2,884.03	$3,801.89	$5,754.40
United Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,884.03 / $7,943.28	Professional		$1,995.26	$2,884.03	$7,943.28