Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $5,495.41 / $14,454.40	Facility		$2,951.21	$5,495.41	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $3,090.30 / $5,754.40	Professional		$2,511.89	$3,090.30	$5,754.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $8,317.64 / $13,803.84	Facility		$5,011.87	$8,317.64	$13,803.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $5,128.61 / $13,182.57	Professional		$2,691.53	$5,128.61	$13,182.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,918.31 / $8,128.31 / $12,882.50	Facility		$6,918.31	$8,128.31	$12,882.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $6,025.60 / $11,220.18	Professional		$2,884.03	$6,025.60	$11,220.18
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $3,467.37 / $8,511.38	Facility		$2,398.83	$3,467.37	$8,511.38
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $4,677.35 / $5,888.44 / $9,332.54	Professional		$4,677.35	$5,888.44	$9,332.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $3,311.31 / $6,165.95	Facility		$2,344.23	$3,311.31	$6,165.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $4,677.35 / $20,417.38	Professional		$2,691.53	$4,677.35	$20,417.38
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 $3,388.44 / $6,165.95 / $9,549.93	Professional		$3,388.44	$6,165.95	$9,549.93
Quartz Facility/Professional Facility Modifier Low / Median / High Price $6,918.31 / $25,703.96 / $25,703.96	Facility		$6,918.31	$25,703.96	$25,703.96
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $13,489.63 / $19,952.62	Professional		$2,818.38	$13,489.63	$19,952.62
Security Health Facility/Professional Professional Modifier Low / Median / High Price $10,000.00 / $10,000.00 / $10,000.00	Professional		$10,000.00	$10,000.00	$10,000.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,754.40 / $10,471.29 / $13,489.63	Professional		$5,754.40	$10,471.29	$13,489.63
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 $2,630.27 / $3,801.89 / $10,471.29	Professional		$2,630.27	$3,801.89	$10,471.29