Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $4,466.84 / $14,454.40	Facility		$2,398.83	$4,466.84	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,398.83 / $4,466.84	Professional		$1,995.26	$2,398.83	$4,466.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $10,964.78 / $19,054.61	Facility		$6,606.93	$10,964.78	$19,054.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $4,168.69 / $10,715.19	Professional		$2,137.96	$4,168.69	$10,715.19
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 $2,137.96 / $4,570.88 / $9,120.11	Professional		$2,137.96	$4,570.88	$9,120.11
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $2,630.27 / $8,128.31	Facility		$1,949.84	$2,630.27	$8,128.31
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $3,715.35 / $4,677.35 / $7,244.36	Professional		$3,715.35	$4,677.35	$7,244.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $2,570.40 / $5,888.44	Facility		$1,949.84	$2,570.40	$5,888.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $3,890.45 / $16,218.10	Professional		$2,187.76	$3,890.45	$16,218.10
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 $2,511.89 / $4,570.88 / $7,079.46	Professional		$2,511.89	$4,570.88	$7,079.46
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 $2,137.96 / $10,471.29 / $15,488.17	Professional		$2,137.96	$10,471.29	$15,488.17
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7,943.28 / $7,943.28 / $7,943.28	Professional		$7,943.28	$7,943.28	$7,943.28
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,606.93 / $8,511.38 / $10,964.78	Professional		$6,606.93	$8,511.38	$10,964.78
United Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $6,165.95 / $19,498.45	Facility		$2,290.87	$6,165.95	$19,498.45
United Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $3,019.95 / $8,128.31	Professional		$2,041.74	$3,019.95	$8,128.31