Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $5,754.40 / $14,454.40	Facility		$2,691.53	$5,754.40	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $2,884.03 / $7,413.10	Professional		$2,570.40	$2,884.03	$7,413.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,715.19 / $15,135.61 / $26,302.68	Facility		$10,715.19	$15,135.61	$26,302.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $5,495.41 / $13,803.84	Professional		$2,754.23	$5,495.41	$13,803.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7,244.36 / $8,317.64 / $13,489.63	Facility		$7,244.36	$8,317.64	$13,489.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,548.13 / $11,220.18 / $12,882.50	Professional		$3,548.13	$11,220.18	$12,882.50
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $4,466.84 / $6,918.31	Facility		$2,754.23	$4,466.84	$6,918.31
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $4,897.79 / $6,606.93 / $8,511.38	Professional		$4,897.79	$6,606.93	$8,511.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $5,623.41 / $13,182.57	Facility		$2,754.23	$5,623.41	$13,182.57
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $5,011.87 / $20,892.96	Professional		$2,951.21	$5,011.87	$20,892.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $85.11	Professional		$32.36	$33.11	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,981.07 / $6,025.60 / $9,332.54	Professional		$3,981.07	$6,025.60	$9,332.54
Quartz Facility/Professional Facility Modifier Low / Median / High Price $7,079.46 / $22,387.21 / $22,387.21	Facility		$7,079.46	$22,387.21	$22,387.21
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,897.79 / $13,489.63 / $20,417.38	Professional		$4,897.79	$13,489.63	$20,417.38
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8,912.51 / $8,912.51 / $8,912.51	Professional		$8,912.51	$8,912.51	$8,912.51
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8,128.31 / $15,488.17 / $17,782.79	Professional		$8,128.31	$15,488.17	$17,782.79
United Facility/Professional Facility Modifier Low / Median / High Price $7,585.78 / $12,302.69 / $16,595.87	Facility		$7,585.78	$12,302.69	$16,595.87
United Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $4,265.80 / $11,481.54	Professional		$2,818.38	$4,265.80	$11,481.54