Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $4,365.16 / $14,454.40	Facility		$2,041.74	$4,365.16	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,238.72 / $5,495.41	Professional		$1,905.46	$2,238.72	$5,495.41
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 $1,905.46 / $4,265.80 / $10,232.93	Professional		$1,905.46	$4,265.80	$10,232.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,370.32 / $6,309.57 / $10,000.00	Facility		$5,370.32	$6,309.57	$10,000.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $8,709.64 / $10,000.00	Professional		$2,570.40	$8,709.64	$10,000.00
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $4,365.16 / $10,471.29	Facility		$2,089.30	$4,365.16	$10,471.29
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $3,715.35 / $5,011.87 / $6,456.54	Professional		$3,715.35	$5,011.87	$6,456.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $4,570.88 / $15,135.61	Facility		$2,089.30	$4,570.88	$15,135.61
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $3,311.31 / $15,848.93	Professional		$2,137.96	$3,311.31	$15,848.93
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 $3,467.37 / $5,248.07 / $8,128.31	Professional		$3,467.37	$5,248.07	$8,128.31
Quartz Facility/Professional Facility Modifier Low / Median / High Price $5,370.32 / $5,370.32 / $22,908.68	Facility		$5,370.32	$5,370.32	$22,908.68
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,715.35 / $10,232.93 / $15,848.93	Professional		$3,715.35	$10,232.93	$15,848.93
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,760.83 / $6,760.83 / $6,760.83	Professional		$6,760.83	$6,760.83	$6,760.83
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,754.40 / $12,589.25 / $13,489.63	Professional		$5,754.40	$12,589.25	$13,489.63
United Facility/Professional Facility Modifier Low / Median / High Price $8,912.51 / $13,803.84 / $17,782.79	Facility		$8,912.51	$13,803.84	$17,782.79
United Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $3,019.95 / $8,511.38	Professional		$2,137.96	$3,019.95	$8,511.38