Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $8,317.64 / $10,232.93	Facility		$4,466.84	$8,317.64	$10,232.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $3,090.30 / $4,677.35	Professional		$2,238.72	$3,090.30	$4,677.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,128.31 / $10,000.00 / $10,232.93	Facility		$8,128.31	$10,000.00	$10,232.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,513.56 / $15,135.61	Professional		$1,513.56	$1,513.56	$15,135.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10,232.93 / $12,022.64 / $19,054.61	Facility		$10,232.93	$12,022.64	$19,054.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,265.80 / $8,912.51 / $11,748.98	Professional		$4,265.80	$8,912.51	$11,748.98
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $4,168.69 / $12,022.64 / $16,982.44	Facility		$4,168.69	$12,022.64	$16,982.44
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $22,387.21 / $22,387.21 / $25,118.86	Professional		$22,387.21	$22,387.21	$25,118.86
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $4,466.84 / $13,182.57	Facility		$3,388.44	$4,466.84	$13,182.57
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $2,238.72 / $18,620.87	Professional		$1,584.89	$2,238.72	$18,620.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $64.57 / $3,715.35	Professional		$50.12	$64.57	$3,715.35
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5,623.41 / $8,912.51 / $12,302.69	Professional		$5,623.41	$8,912.51	$12,302.69
Quartz Facility/Professional Facility Modifier Low / Median / High Price $7,585.78 / $17,782.79 / $17,782.79	Facility		$7,585.78	$17,782.79	$17,782.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,466.84 / $18,620.87 / $18,620.87	Professional		$4,466.84	$18,620.87	$18,620.87
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,187.76 / $7,943.28	Professional		$2,187.76	$2,187.76	$7,943.28
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $10,715.19 / $22,908.68	Professional		$2,187.76	$10,715.19	$22,908.68
United Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $3,019.95 / $4,466.84	Facility		$3,019.95	$3,019.95	$4,466.84
United Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $2,238.72 / $5,623.41	Professional		$1,584.89	$2,238.72	$5,623.41