Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $4,786.30 / $14,454.40	Facility		$2,137.96	$4,786.30	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,511.89 / $6,309.57	Professional		$2,137.96	$2,511.89	$6,309.57
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 $2,290.87 / $4,466.84 / $11,220.18	Professional		$2,290.87	$4,466.84	$11,220.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,025.60 / $6,918.31 / $11,220.18	Facility		$6,025.60	$6,918.31	$11,220.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,235.94 / $9,120.11 / $10,471.29	Professional		$3,235.94	$9,120.11	$10,471.29
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $4,466.84 / $10,000.00	Facility		$2,137.96	$4,466.84	$10,000.00
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $4,168.69 / $5,495.41 / $7,079.46	Professional		$4,168.69	$5,495.41	$7,079.46
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $3,235.94 / $7,762.47	Facility		$2,137.96	$3,235.94	$7,762.47
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $4,073.80 / $17,782.79	Professional		$2,344.23	$4,073.80	$17,782.79
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 $3,801.89 / $5,754.40 / $8,912.51	Professional		$3,801.89	$5,754.40	$8,912.51
Quartz Facility/Professional Facility Modifier Low / Median / High Price $6,025.60 / $44,668.36 / $44,668.36	Facility		$6,025.60	$44,668.36	$44,668.36
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,365.16 / $11,220.18 / $17,378.01	Professional		$4,365.16	$11,220.18	$17,378.01
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7,943.28 / $7,943.28 / $7,943.28	Professional		$7,943.28	$7,943.28	$7,943.28
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7,413.10 / $13,489.63 / $14,791.08	Professional		$7,413.10	$13,489.63	$14,791.08
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 $2,344.23 / $3,548.13 / $9,772.37	Professional		$2,344.23	$3,548.13	$9,772.37