Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $7,943.28 / $7,943.28	Facility		$3,467.37	$7,943.28	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,454.71 / $3,467.37	Professional		$2,041.74	$2,454.71	$3,467.37
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,174.90 / $11,748.98	Professional		$1,174.90	$1,174.90	$11,748.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7,943.28 / $9,332.54 / $15,135.61	Facility		$7,943.28	$9,332.54	$15,135.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,388.44 / $7,413.10 / $9,120.11	Professional		$3,388.44	$7,413.10	$9,120.11
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $12,302.69 / $18,620.87	Facility		$2,951.21	$12,302.69	$18,620.87
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $17,378.01 / $17,378.01 / $19,498.45	Professional		$17,378.01	$17,378.01	$19,498.45
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $3,467.37 / $10,232.93	Facility		$2,630.27	$3,467.37	$10,232.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,737.80 / $14,454.40	Professional		$1,318.26	$1,737.80	$14,454.40
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 $4,677.35 / $6,918.31 / $9,549.93	Professional		$4,677.35	$6,918.31	$9,549.93
Quartz Facility/Professional Facility Modifier Low / Median / High Price $5,888.44 / $13,803.84 / $13,803.84	Facility		$5,888.44	$13,803.84	$13,803.84
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,265.80 / $11,748.98 / $14,454.40	Professional		$4,265.80	$11,748.98	$14,454.40
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,165.95 / $6,165.95 / $6,165.95	Professional		$6,165.95	$6,165.95	$6,165.95
Security Health Facility/Professional Professional Modifier Low / Median / High Price $15,848.93 / $15,848.93 / $15,848.93	Professional		$15,848.93	$15,848.93	$15,848.93
United Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $2,344.23 / $3,467.37	Facility		$2,344.23	$2,344.23	$3,467.37
United Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,737.80 / $4,786.30	Professional		$1,230.27	$1,737.80	$4,786.30