Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $3,467.37 / $14,454.40	Facility		$2,041.74	$3,467.37	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,949.84 / $3,467.37	Professional		$1,513.56	$1,949.84	$3,467.37
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $10,964.78 / $17,378.01	Facility		$6,606.93	$10,964.78	$17,378.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $3,235.94 / $8,128.31	Professional		$1,513.56	$3,235.94	$8,128.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,365.16 / $5,128.61 / $8,128.31	Facility		$4,365.16	$5,128.61	$8,128.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $5,248.07 / $6,025.60	Professional		$2,398.83	$5,248.07	$6,025.60
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $7,244.36 / $14,454.40	Facility		$1,949.84	$7,244.36	$14,454.40
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $4,168.69 / $5,128.61	Professional		$3,019.95	$4,168.69	$5,128.61
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $8,511.38 / $15,848.93	Facility		$1,862.09	$8,511.38	$15,848.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,818.38 / $7,762.47	Professional		$1,698.24	$2,818.38	$7,762.47
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 $1,949.84 / $3,801.89 / $6,165.95	Professional		$1,949.84	$3,801.89	$6,165.95
Quartz Facility/Professional Facility Modifier Low / Median / High Price $11,220.18 / $11,220.18 / $16,595.87	Facility		$11,220.18	$11,220.18	$16,595.87
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $8,128.31 / $12,022.64	Professional		$2,290.87	$8,128.31	$12,022.64
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,073.80 / $4,073.80 / $4,073.80	Professional		$4,073.80	$4,073.80	$4,073.80
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,365.16 / $10,000.00 / $10,000.00	Professional		$4,365.16	$10,000.00	$10,000.00
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 $1,513.56 / $2,630.27 / $7,079.46	Professional		$1,513.56	$2,630.27	$7,079.46