Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $4,466.84 / $14,454.40	Facility		$1,995.26	$4,466.84	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,454.71 / $6,165.95	Professional		$1,995.26	$2,454.71	$6,165.95
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 $2,137.96 / $4,168.69 / $10,471.29	Professional		$2,137.96	$4,168.69	$10,471.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,623.41 / $6,606.93 / $10,471.29	Facility		$5,623.41	$6,606.93	$10,471.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $8,511.38 / $9,772.37	Professional		$3,162.28	$8,511.38	$9,772.37
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $4,073.80 / $10,000.00	Facility		$2,041.74	$4,073.80	$10,000.00
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $3,890.45 / $5,248.07 / $6,760.83	Professional		$3,890.45	$5,248.07	$6,760.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $3,162.28 / $7,762.47	Facility		$2,041.74	$3,162.28	$7,762.47
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $3,890.45 / $16,595.87	Professional		$2,238.72	$3,890.45	$16,595.87
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 $3,630.78 / $5,370.32 / $8,317.64	Professional		$3,630.78	$5,370.32	$8,317.64
Quartz Facility/Professional Facility Modifier Low / Median / High Price $5,623.41 / $28,840.32 / $28,840.32	Facility		$5,623.41	$28,840.32	$28,840.32
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,168.69 / $10,471.29 / $16,595.87	Professional		$4,168.69	$10,471.29	$16,595.87
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7,585.78 / $7,585.78 / $7,585.78	Professional		$7,585.78	$7,585.78	$7,585.78
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7,079.46 / $12,589.25 / $14,125.38	Professional		$7,079.46	$12,589.25	$14,125.38
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 $2,238.72 / $3,311.31 / $9,120.11	Professional		$2,238.72	$3,311.31	$9,120.11