Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $6,760.83 / $6,760.83	Facility		$2,951.21	$6,760.83	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $1,995.26 / $2,951.21	Professional		$1,698.24	$1,995.26	$2,951.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $3,890.45 / $13,182.57	Professional		$2,454.71	$3,890.45	$13,182.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,760.83 / $7,762.47 / $12,589.25	Facility		$6,760.83	$7,762.47	$12,589.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $6,760.83 / $7,585.78	Professional		$2,818.38	$6,760.83	$7,585.78
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $10,232.93 / $15,488.17	Facility		$2,511.89	$10,232.93	$15,488.17
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $14,454.40 / $14,454.40 / $16,218.10	Professional		$14,454.40	$14,454.40	$16,218.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $3,090.30 / $8,511.38	Facility		$2,041.74	$3,090.30	$8,511.38
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,445.44 / $12,022.64	Professional		$1,096.48	$1,445.44	$12,022.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $64.57 / $1,230.27	Professional		$50.12	$64.57	$1,230.27
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,981.07 / $5,754.40 / $7,943.28	Professional		$3,981.07	$5,754.40	$7,943.28
Quartz Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $11,481.54 / $11,481.54	Facility		$4,897.79	$11,481.54	$11,481.54
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,548.13 / $12,022.64 / $12,022.64	Professional		$3,548.13	$12,022.64	$12,022.64
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,128.61 / $5,128.61 / $5,128.61	Professional		$5,128.61	$5,128.61	$5,128.61
Security Health Facility/Professional Professional Modifier Low / Median / High Price $13,182.57 / $13,182.57 / $13,182.57	Professional		$13,182.57	$13,182.57	$13,182.57
United Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $1,949.84 / $1,949.84	Facility		$1,949.84	$1,949.84	$1,949.84
United Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,445.44 / $3,981.07	Professional		$1,023.29	$1,445.44	$3,981.07