Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,365.16 / $10,000.00 / $10,000.00	Facility		$4,365.16	$10,000.00	$10,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $2,951.21 / $4,365.16	Professional		$2,511.89	$2,951.21	$4,365.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,762.47 / $9,772.37 / $10,000.00	Facility		$7,762.47	$9,772.37	$10,000.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,445.44 / $12,589.25	Professional		$1,230.27	$1,445.44	$12,589.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10,000.00 / $11,481.54 / $18,620.87	Facility		$10,000.00	$11,481.54	$18,620.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,168.69 / $9,120.11 / $11,220.18	Professional		$4,168.69	$9,120.11	$11,220.18
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $14,791.08 / $20,892.96	Facility		$3,981.07	$14,791.08	$20,892.96
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $21,379.62 / $21,379.62 / $23,988.33	Professional		$21,379.62	$21,379.62	$23,988.33
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $4,365.16 / $12,589.25	Facility		$2,754.23	$4,365.16	$12,589.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,137.96 / $18,197.01	Professional		$1,621.81	$2,137.96	$18,197.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $64.57 / $1,819.70	Professional		$50.12	$64.57	$1,819.70
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5,754.40 / $8,511.38 / $11,748.98	Professional		$5,754.40	$8,511.38	$11,748.98
Quartz Facility/Professional Facility Modifier Low / Median / High Price $7,244.36 / $16,982.44 / $16,982.44	Facility		$7,244.36	$16,982.44	$16,982.44
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5,248.07 / $18,197.01 / $18,197.01	Professional		$5,248.07	$18,197.01	$18,197.01
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7,585.78 / $7,585.78 / $7,585.78	Professional		$7,585.78	$7,585.78	$7,585.78
Security Health Facility/Professional Professional Modifier Low / Median / High Price $10,471.29 / $19,498.45 / $27,542.29	Professional		$10,471.29	$19,498.45	$27,542.29
United Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $2,884.03 / $4,365.16	Facility		$2,884.03	$2,884.03	$4,365.16
United Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,137.96 / $5,888.44	Professional		$1,513.56	$2,137.96	$5,888.44