Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $3,890.45 / $14,454.40	Facility		$2,089.30	$3,890.45	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,137.96 / $3,715.35	Professional		$1,778.28	$2,137.96	$3,715.35
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 $1,862.09 / $3,630.78 / $9,332.54	Professional		$1,862.09	$3,630.78	$9,332.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $5,754.40 / $9,120.11	Facility		$4,897.79	$5,754.40	$9,120.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $4,168.69 / $7,943.28	Professional		$1,995.26	$4,168.69	$7,943.28
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $2,344.23 / $8,128.31	Facility		$1,778.28	$2,344.23	$8,128.31
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $3,311.31 / $4,168.69 / $5,888.44	Professional		$3,311.31	$4,168.69	$5,888.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $2,398.83 / $5,754.40	Facility		$1,778.28	$2,398.83	$5,754.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $3,235.94 / $14,454.40	Professional		$1,862.09	$3,235.94	$14,454.40
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 $2,454.71 / $4,466.84 / $6,918.31	Professional		$2,454.71	$4,466.84	$6,918.31
Quartz Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $18,197.01 / $18,197.01	Facility		$4,897.79	$18,197.01	$18,197.01
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $9,332.54 / $14,125.38	Professional		$1,949.84	$9,332.54	$14,125.38
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7,079.46 / $7,079.46 / $7,079.46	Professional		$7,079.46	$7,079.46	$7,079.46
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,888.44 / $7,079.46 / $9,549.93	Professional		$5,888.44	$7,079.46	$9,549.93
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 $1,778.28 / $2,570.40 / $7,244.36	Professional		$1,778.28	$2,570.40	$7,244.36