Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $5,248.07 / $14,454.40	Facility		$2,344.23	$5,248.07	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $3,019.95 / $7,762.47	Professional		$2,344.23	$3,019.95	$7,762.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,748.98 / $16,218.10 / $26,302.68	Facility		$11,748.98	$16,218.10	$26,302.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $4,897.79 / $12,302.69	Professional		$2,511.89	$4,897.79	$12,302.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,456.54 / $7,585.78 / $12,022.64	Facility		$6,456.54	$7,585.78	$12,022.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,801.89 / $10,000.00 / $11,220.18	Professional		$3,801.89	$10,000.00	$11,220.18
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $4,897.79 / $10,000.00	Facility		$2,454.71	$4,897.79	$10,000.00
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $4,466.84 / $6,025.60 / $7,762.47	Professional		$4,466.84	$6,025.60	$7,762.47
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $5,248.07 / $17,782.79	Facility		$2,630.27	$5,248.07	$17,782.79
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $4,570.88 / $19,498.45	Professional		$2,754.23	$4,570.88	$19,498.45
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 $4,168.69 / $6,309.57 / $9,549.93	Professional		$4,168.69	$6,309.57	$9,549.93
Quartz Facility/Professional Facility Modifier Low / Median / High Price $6,456.54 / $27,542.29 / $27,542.29	Facility		$6,456.54	$27,542.29	$27,542.29
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,786.30 / $12,302.69 / $19,054.61	Professional		$4,786.30	$12,302.69	$19,054.61
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8,709.64 / $8,709.64 / $8,709.64	Professional		$8,709.64	$8,709.64	$8,709.64
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8,128.31 / $14,791.08 / $16,218.10	Professional		$8,128.31	$14,791.08	$16,218.10
United Facility/Professional Facility Modifier Low / Median / High Price $8,128.31 / $16,218.10 / $21,379.62	Facility		$8,128.31	$16,218.10	$21,379.62
United Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $3,981.07 / $10,715.19	Professional		$2,630.27	$3,981.07	$10,715.19