Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14,454.40 / $18,197.01 / $33,113.11	Facility		$14,454.40	$18,197.01	$33,113.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $9,772.37 / $15,135.61	Professional		$1,000.00	$9,772.37	$15,135.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $25,703.96 / $32,359.37 / $33,113.11	Facility		$25,703.96	$32,359.37	$33,113.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,786.30 / $4,786.30 / $47,863.01	Professional		$4,786.30	$4,786.30	$47,863.01
CareSource Facility/Professional Facility Modifier Low / Median / High Price $9,120.11 / $9,120.11 / $9,120.11	Facility		$9,120.11	$9,120.11	$9,120.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33,113.11 / $38,904.51 / $61,659.50	Facility		$33,113.11	$38,904.51	$61,659.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13,803.84 / $17,378.01 / $37,153.52	Professional		$13,803.84	$17,378.01	$37,153.52
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $23,988.33 / $67,608.30	Facility		$794.33	$23,988.33	$67,608.30
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $72,443.60 / $72,443.60 / $79,432.82	Professional		$72,443.60	$72,443.60	$79,432.82
Medica Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $11,481.54 / $41,686.94	Facility		$794.33	$11,481.54	$41,686.94
Medica Facility/Professional Professional Modifier Low / Median / High Price $5,011.87 / $7,244.36 / $43,651.58	Professional		$5,011.87	$7,244.36	$43,651.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $70.79 / $10,964.78	Professional		$54.95	$70.79	$10,964.78
Quartz Facility/Professional Professional Modifier Low / Median / High Price $18,620.87 / $28,183.83 / $39,810.72	Professional		$18,620.87	$28,183.83	$39,810.72
Quartz Facility/Professional Facility Modifier Low / Median / High Price $23,988.33 / $23,988.33 / $57,543.99	Facility		$23,988.33	$23,988.33	$57,543.99
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6,309.57 / $60,255.96 / $60,255.96	Professional		$6,309.57	$60,255.96	$60,255.96
Security Health Facility/Professional Professional Modifier Low / Median / High Price $12,022.64 / $12,022.64 / $25,703.96	Professional		$12,022.64	$12,022.64	$25,703.96
Security Health Facility/Professional Professional Modifier Low / Median / High Price $12,022.64 / $12,022.64 / $66,069.34	Professional		$12,022.64	$12,022.64	$66,069.34
United Facility/Professional Facility Modifier Low / Median / High Price $7,244.36 / $9,549.93 / $14,454.40	Facility		$7,244.36	$9,549.93	$14,454.40
United Facility/Professional Professional Modifier Low / Median / High Price $5,011.87 / $7,244.36 / $19,952.62	Professional		$5,011.87	$7,244.36	$19,952.62