Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $5,011.87 / $14,454.40	Facility		$2,238.72	$5,011.87	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $2,754.23 / $7,244.36	Professional		$2,238.72	$2,754.23	$7,244.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,748.98 / $16,218.10 / $27,542.29	Facility		$11,748.98	$16,218.10	$27,542.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $4,677.35 / $11,748.98	Professional		$2,398.83	$4,677.35	$11,748.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,165.95 / $7,244.36 / $11,481.54	Facility		$6,165.95	$7,244.36	$11,481.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,630.78 / $9,549.93 / $10,715.19	Professional		$3,630.78	$9,549.93	$10,715.19
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $4,677.35 / $10,000.00	Facility		$2,344.23	$4,677.35	$10,000.00
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $4,265.80 / $5,754.40 / $7,413.10	Professional		$4,265.80	$5,754.40	$7,413.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $3,548.13 / $7,762.47	Facility		$2,238.72	$3,548.13	$7,762.47
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $4,365.16 / $18,620.87	Professional		$2,630.27	$4,365.16	$18,620.87
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 $3,981.07 / $6,025.60 / $9,120.11	Professional		$3,981.07	$6,025.60	$9,120.11
Quartz Facility/Professional Facility Modifier Low / Median / High Price $6,165.95 / $32,359.37 / $32,359.37	Facility		$6,165.95	$32,359.37	$32,359.37
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,570.88 / $11,748.98 / $18,197.01	Professional		$4,570.88	$11,748.98	$18,197.01
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8,317.64 / $8,317.64 / $8,317.64	Professional		$8,317.64	$8,317.64	$8,317.64
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7,762.47 / $13,803.84 / $15,488.17	Professional		$7,762.47	$13,803.84	$15,488.17
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 $2,511.89 / $3,801.89 / $10,000.00	Professional		$2,511.89	$3,801.89	$10,000.00