Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $4,365.16 / $14,454.40	Facility		$2,344.23	$4,365.16	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,398.83 / $4,365.16	Professional		$1,995.26	$2,398.83	$4,365.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $8,128.31 / $13,489.63	Facility		$5,011.87	$8,128.31	$13,489.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $3,981.07 / $10,471.29	Professional		$2,089.30	$3,981.07	$10,471.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,370.32 / $6,309.57 / $10,232.93	Facility		$5,370.32	$6,309.57	$10,232.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $4,786.30 / $8,912.51	Professional		$2,238.72	$4,786.30	$8,912.51
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $2,630.27 / $4,466.84	Facility		$1,995.26	$2,630.27	$4,466.84
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $3,630.78 / $4,570.88 / $6,606.93	Professional		$3,630.78	$4,570.88	$6,606.93
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $2,754.23 / $5,888.44	Facility		$1,995.26	$2,754.23	$5,888.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $3,548.13 / $17,378.01	Professional		$2,137.96	$3,548.13	$17,378.01
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 $2,691.53 / $4,897.79 / $7,585.78	Professional		$2,691.53	$4,897.79	$7,585.78
Quartz Facility/Professional Facility Modifier Low / Median / High Price $5,370.32 / $5,370.32 / $17,378.01	Facility		$5,370.32	$5,370.32	$17,378.01
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $10,471.29 / $17,378.01	Professional		$2,187.76	$10,471.29	$17,378.01
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7,762.47 / $7,762.47 / $7,762.47	Professional		$7,762.47	$7,762.47	$7,762.47
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,606.93 / $8,128.31 / $10,715.19	Professional		$6,606.93	$8,128.31	$10,715.19
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 / $2,884.03 / $8,128.31	Professional		$2,041.74	$2,884.03	$8,128.31