Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $6,918.31 / $8,511.38	Facility		$3,715.35	$6,918.31	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $2,570.40 / $4,570.88	Professional		$323.59	$2,570.40	$4,570.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,760.83 / $8,317.64 / $8,511.38	Facility		$6,760.83	$8,317.64	$8,511.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,258.93 / $12,589.25	Professional		$1,258.93	$1,258.93	$12,589.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8,511.38 / $10,000.00 / $15,848.93	Facility		$8,511.38	$10,000.00	$15,848.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,548.13 / $7,413.10 / $9,772.37	Professional		$3,548.13	$7,413.10	$9,772.37
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $12,882.50 / $18,197.01	Facility		$3,388.44	$12,882.50	$18,197.01
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $18,620.87 / $18,620.87 / $20,892.96	Professional		$18,620.87	$18,620.87	$20,892.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $3,715.35 / $10,964.78	Facility		$2,818.38	$3,715.35	$10,964.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,862.09 / $15,488.17	Professional		$1,412.54	$1,862.09	$15,488.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $64.57 / $85.11	Professional		$50.12	$64.57	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5,370.32 / $7,413.10 / $10,232.93	Professional		$5,370.32	$7,413.10	$10,232.93
Quartz Facility/Professional Facility Modifier Low / Median / High Price $6,165.95 / $14,791.08 / $14,791.08	Facility		$6,165.95	$14,791.08	$14,791.08
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,715.35 / $15,488.17 / $15,488.17	Professional		$3,715.35	$15,488.17	$15,488.17
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $2,344.23 / $6,606.93	Professional		$2,344.23	$2,344.23	$6,606.93
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $9,120.11 / $17,378.01	Professional		$2,344.23	$9,120.11	$17,378.01
United Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $2,511.89 / $3,715.35	Facility		$2,511.89	$2,511.89	$3,715.35
United Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,862.09 / $5,128.61	Professional		$1,318.26	$1,862.09	$5,128.61