Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $4,466.84 / $14,454.40	Facility		$2,137.96	$4,466.84	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,238.72 / $6,918.31	Professional		$1,995.26	$2,238.72	$6,918.31
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 $2,187.76 / $4,365.16 / $10,964.78	Professional		$2,187.76	$4,365.16	$10,964.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,623.41 / $6,606.93 / $10,471.29	Facility		$5,623.41	$6,606.93	$10,471.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $8,912.51 / $10,000.00	Professional		$2,754.23	$8,912.51	$10,000.00
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $4,466.84 / $9,772.37	Facility		$2,187.76	$4,466.84	$9,772.37
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $3,890.45 / $5,128.61 / $6,760.83	Professional		$3,890.45	$5,128.61	$6,760.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $4,677.35 / $15,135.61	Facility		$2,187.76	$4,677.35	$15,135.61
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $3,890.45 / $19,498.45	Professional		$2,238.72	$3,890.45	$19,498.45
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 $3,019.95 / $4,677.35 / $7,079.46	Professional		$3,019.95	$4,677.35	$7,079.46
Quartz Facility/Professional Facility Modifier Low / Median / High Price $9,120.11 / $19,952.62 / $19,952.62	Facility		$9,120.11	$19,952.62	$19,952.62
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,801.89 / $10,715.19 / $19,498.45	Professional		$3,801.89	$10,715.19	$19,498.45
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 $6,918.31 / $12,022.64 / $13,803.84	Professional		$6,918.31	$12,022.64	$13,803.84
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 $2,137.96 / $3,311.31 / $8,912.51	Professional		$2,137.96	$3,311.31	$8,912.51