Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $5,495.41 / $14,454.40	Facility		$2,630.27	$5,495.41	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $2,754.23 / $6,760.83	Professional		$2,454.71	$2,754.23	$6,760.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,748.98 / $15,488.17 / $26,302.68	Facility		$11,748.98	$15,488.17	$26,302.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $5,248.07 / $13,182.57	Professional		$2,691.53	$5,248.07	$13,182.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,918.31 / $8,128.31 / $12,882.50	Facility		$6,918.31	$8,128.31	$12,882.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,467.37 / $10,964.78 / $12,302.69	Professional		$3,467.37	$10,964.78	$12,302.69
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $5,370.32 / $10,471.29	Facility		$2,630.27	$5,370.32	$10,471.29
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $4,786.30 / $6,456.54 / $7,943.28	Professional		$4,786.30	$6,456.54	$7,943.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $5,495.41 / $19,498.45	Facility		$2,630.27	$5,495.41	$19,498.45
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $4,897.79 / $20,417.38	Professional		$2,570.40	$4,897.79	$20,417.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $70.79	Professional		$32.36	$33.11	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,890.45 / $5,888.44 / $8,912.51	Professional		$3,890.45	$5,888.44	$8,912.51
Quartz Facility/Professional Facility Modifier Low / Median / High Price $6,918.31 / $21,877.62 / $21,877.62	Facility		$6,918.31	$21,877.62	$21,877.62
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,786.30 / $13,182.57 / $20,417.38	Professional		$4,786.30	$13,182.57	$20,417.38
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8,709.64 / $8,709.64 / $8,709.64	Professional		$8,709.64	$8,709.64	$8,709.64
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8,709.64 / $14,791.08 / $16,982.44	Professional		$8,709.64	$14,791.08	$16,982.44
United Facility/Professional Facility Modifier Low / Median / High Price $8,709.64 / $16,982.44 / $22,387.21	Facility		$8,709.64	$16,982.44	$22,387.21
United Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $4,073.80 / $10,964.78	Professional		$2,570.40	$4,073.80	$10,964.78