Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $5,495.41 / $6,760.83	Facility		$2,951.21	$5,495.41	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,089.30 / $3,630.78	Professional		$1,698.24	$2,089.30	$3,630.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,248.07 / $6,606.93 / $6,760.83	Facility		$5,248.07	$6,606.93	$6,760.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $977.24 / $9,772.37	Professional		$977.24	$977.24	$9,772.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,760.83 / $7,943.28 / $12,589.25	Facility		$6,760.83	$7,943.28	$12,589.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $5,011.87 / $7,585.78	Professional		$2,818.38	$5,011.87	$7,585.78
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $10,232.93 / $15,488.17	Facility		$2,691.53	$10,232.93	$15,488.17
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $14,791.08 / $14,791.08 / $16,218.10	Professional		$14,791.08	$14,791.08	$16,218.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $2,951.21 / $8,511.38	Facility		$2,187.76	$2,951.21	$8,511.38
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,479.11 / $12,302.69	Professional		$1,096.48	$1,479.11	$12,302.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $70.79 / $2,818.38	Professional		$50.12	$70.79	$2,818.38
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,981.07 / $5,754.40 / $8,128.31	Professional		$3,981.07	$5,754.40	$8,128.31
Quartz Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $11,748.98 / $11,748.98	Facility		$4,897.79	$11,748.98	$11,748.98
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $9,772.37 / $12,302.69	Professional		$1,174.90	$9,772.37	$12,302.69
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $2,454.71 / $5,248.07	Professional		$2,454.71	$2,454.71	$5,248.07
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $7,943.28 / $13,489.63	Professional		$2,454.71	$7,943.28	$13,489.63
United Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $1,949.84 / $2,951.21	Facility		$1,949.84	$1,949.84	$2,951.21
United Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,479.11 / $4,073.80	Professional		$1,023.29	$1,479.11	$4,073.80