Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $4,786.30 / $4,786.30	Facility		$2,089.30	$4,786.30	$4,786.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,445.44 / $2,089.30	Professional		$1,230.27	$1,445.44	$2,089.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $426.58 / $6,025.60	Professional		$363.08	$426.58	$6,025.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $5,623.41 / $8,912.51	Facility		$4,786.30	$5,623.41	$8,912.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $4,786.30 / $5,495.41	Professional		$1,995.26	$4,786.30	$5,495.41
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $7,413.10 / $11,220.18	Facility		$1,778.28	$7,413.10	$11,220.18
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $10,471.29 / $10,471.29 / $11,748.98	Professional		$10,471.29	$10,471.29	$11,748.98
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $2,089.30 / $6,165.95	Facility		$1,445.44	$2,089.30	$6,165.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,047.13 / $8,709.64	Professional		$794.33	$1,047.13	$8,709.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $70.79 / $1,737.80	Professional		$50.12	$70.79	$1,737.80
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $4,168.69 / $5,754.40	Professional		$2,818.38	$4,168.69	$5,754.40
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $8,317.64 / $8,317.64	Facility		$3,548.13	$8,317.64	$8,317.64
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $8,709.64 / $8,709.64	Professional		$2,570.40	$8,709.64	$8,709.64
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,715.35 / $3,715.35 / $3,715.35	Professional		$3,715.35	$3,715.35	$3,715.35
Security Health Facility/Professional Professional Modifier Low / Median / High Price $9,549.93 / $9,549.93 / $9,549.93	Professional		$9,549.93	$9,549.93	$9,549.93
United Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,412.54 / $2,089.30	Facility		$1,412.54	$1,412.54	$2,089.30
United Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,047.13 / $2,884.03	Professional		$741.31	$1,047.13	$2,884.03