Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $4,570.88 / $14,454.40	Facility		$2,041.74	$4,570.88	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,398.83 / $6,025.60	Professional		$2,041.74	$2,398.83	$6,025.60
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 $2,238.72 / $4,265.80 / $10,715.19	Professional		$2,238.72	$4,265.80	$10,715.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,754.40 / $6,760.83 / $10,715.19	Facility		$5,754.40	$6,760.83	$10,715.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,090.30 / $8,709.64 / $10,000.00	Professional		$3,090.30	$8,709.64	$10,000.00
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $4,365.16 / $10,000.00	Facility		$2,089.30	$4,365.16	$10,000.00
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $3,981.07 / $5,370.32 / $6,918.31	Professional		$3,981.07	$5,370.32	$6,918.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $3,162.28 / $7,762.47	Facility		$2,089.30	$3,162.28	$7,762.47
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $3,981.07 / $16,982.44	Professional		$2,290.87	$3,981.07	$16,982.44
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 $3,715.35 / $5,495.41 / $8,511.38	Professional		$3,715.35	$5,495.41	$8,511.38
Quartz Facility/Professional Facility Modifier Low / Median / High Price $5,754.40 / $24,547.09 / $24,547.09	Facility		$5,754.40	$24,547.09	$24,547.09
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,265.80 / $10,715.19 / $16,595.87	Professional		$4,265.80	$10,715.19	$16,595.87
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7,762.47 / $7,762.47 / $7,762.47	Professional		$7,762.47	$7,762.47	$7,762.47
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,918.31 / $12,882.50 / $14,454.40	Professional		$6,918.31	$12,882.50	$14,454.40
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 $2,290.87 / $3,388.44 / $9,332.54	Professional		$2,290.87	$3,388.44	$9,332.54