Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7,079.46 / $7,079.46 / $7,079.46	Facility		$7,079.46	$7,079.46	$7,079.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,041.74 / $2,570.40	Professional		$1,819.70	$2,041.74	$2,570.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,090.30 / $4,786.30 / $10,232.93	Professional		$3,090.30	$4,786.30	$10,232.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7,079.46 / $8,317.64 / $13,182.57	Facility		$7,079.46	$8,317.64	$13,182.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $6,456.54 / $8,128.31	Professional		$2,951.21	$6,456.54	$8,128.31
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $10,715.19 / $16,218.10	Facility		$2,630.27	$10,715.19	$16,218.10
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $15,488.17 / $15,488.17 / $16,982.44	Professional		$15,488.17	$15,488.17	$16,982.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $3,090.30 / $8,912.51	Facility		$2,290.87	$3,090.30	$8,912.51
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,548.82 / $12,882.50	Professional		$1,148.15	$1,548.82	$12,882.50
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 $4,168.69 / $6,025.60 / $8,511.38	Professional		$4,168.69	$6,025.60	$8,511.38
Quartz Facility/Professional Facility Modifier Low / Median / High Price $5,128.61 / $12,302.69 / $12,302.69	Facility		$5,128.61	$12,302.69	$12,302.69
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,715.35 / $10,232.93 / $12,882.50	Professional		$3,715.35	$10,232.93	$12,882.50
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,495.41 / $5,495.41 / $5,495.41	Professional		$5,495.41	$5,495.41	$5,495.41
Security Health Facility/Professional Professional Modifier Low / Median / High Price $13,489.63 / $14,125.38 / $14,125.38	Professional		$13,489.63	$14,125.38	$14,125.38
United Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $2,041.74 / $3,090.30	Facility		$2,041.74	$2,041.74	$3,090.30
United Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,548.82 / $4,265.80	Professional		$1,071.52	$1,548.82	$4,265.80