Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $6,456.54 / $7,943.28	Facility		$3,467.37	$6,456.54	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,344.23 / $3,630.78	Professional		$1,737.80	$2,344.23	$3,630.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,165.95 / $7,762.47 / $7,943.28	Facility		$6,165.95	$7,762.47	$7,943.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,148.15 / $11,481.54	Professional		$1,148.15	$1,148.15	$11,481.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7,943.28 / $9,332.54 / $14,791.08	Facility		$7,943.28	$9,332.54	$14,791.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,311.31 / $6,918.31 / $8,912.51	Professional		$3,311.31	$6,918.31	$8,912.51
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $8,709.64 / $12,302.69	Facility		$3,162.28	$8,709.64	$12,302.69
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $17,378.01 / $17,378.01 / $19,054.61	Professional		$17,378.01	$17,378.01	$19,054.61
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $3,467.37 / $10,000.00	Facility		$2,570.40	$3,467.37	$10,000.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,737.80 / $14,454.40	Professional		$1,202.26	$1,737.80	$14,454.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $64.57 / $70.79	Professional		$50.12	$64.57	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,073.80 / $6,760.83 / $9,549.93	Professional		$4,073.80	$6,760.83	$9,549.93
Quartz Facility/Professional Facility Modifier Low / Median / High Price $5,754.40 / $13,489.63 / $13,489.63	Facility		$5,754.40	$13,489.63	$13,489.63
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,467.37 / $14,454.40 / $14,454.40	Professional		$3,467.37	$14,454.40	$14,454.40
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,584.89 / $6,165.95	Professional		$1,584.89	$1,584.89	$6,165.95
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $6,918.31 / $15,848.93	Professional		$1,584.89	$6,918.31	$15,848.93
United Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $2,290.87 / $3,467.37	Facility		$2,290.87	$2,290.87	$3,467.37
United Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,737.80 / $4,265.80	Professional		$1,202.26	$1,737.80	$4,265.80