Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $4,365.16 / $14,454.40	Facility		$2,089.30	$4,365.16	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,187.76 / $5,754.40	Professional		$1,949.84	$2,187.76	$5,754.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $10,964.78 / $18,197.01	Facility		$6,606.93	$10,964.78	$18,197.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $4,365.16 / $10,715.19	Professional		$2,137.96	$4,365.16	$10,715.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,623.41 / $6,456.54 / $10,471.29	Facility		$5,623.41	$6,456.54	$10,471.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $8,709.64 / $10,000.00	Professional		$2,818.38	$8,709.64	$10,000.00
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $4,365.16 / $9,772.37	Facility		$2,137.96	$4,365.16	$9,772.37
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $3,801.89 / $5,128.61 / $6,606.93	Professional		$3,801.89	$5,128.61	$6,606.93
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $4,570.88 / $13,489.63	Facility		$2,137.96	$4,570.88	$13,489.63
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $4,073.80 / $22,387.21	Professional		$2,290.87	$4,073.80	$22,387.21
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 $2,951.21 / $4,466.84 / $6,760.83	Professional		$2,951.21	$4,466.84	$6,760.83
Quartz Facility/Professional Facility Modifier Low / Median / High Price $5,495.41 / $19,498.45 / $19,498.45	Facility		$5,495.41	$19,498.45	$19,498.45
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,801.89 / $10,471.29 / $22,387.21	Professional		$3,801.89	$10,471.29	$22,387.21
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7,079.46 / $7,079.46 / $7,079.46	Professional		$7,079.46	$7,079.46	$7,079.46
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,760.83 / $12,022.64 / $13,489.63	Professional		$6,760.83	$12,022.64	$13,489.63
United Facility/Professional Facility Modifier Low / Median / High Price $7,585.78 / $12,302.69 / $16,218.10	Facility		$7,585.78	$12,302.69	$16,218.10
United Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $3,311.31 / $8,912.51	Professional		$2,238.72	$3,311.31	$8,912.51