Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $2,691.53 / $2,691.53	Facility		$2,691.53	$2,691.53	$2,691.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,951.21 / $3,467.37	Professional		$1,659.59	$2,951.21	$3,467.37
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,888.44 / $5,888.44 / $9,772.37	Facility		$5,888.44	$5,888.44	$9,772.37
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,467.37 / $5,495.41 / $5,888.44	Professional		$3,467.37	$5,495.41	$5,888.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9,772.37 / $11,481.54 / $18,197.01	Facility		$9,772.37	$11,481.54	$18,197.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,265.80 / $4,570.88 / $5,248.07	Professional		$4,265.80	$4,570.88	$5,248.07
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $3,630.78 / $3,801.89	Facility		$2,691.53	$3,630.78	$3,801.89
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $1,318.26	Professional		$1,318.26	$1,318.26	$1,318.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $3,630.78 / $16,982.44	Facility		$2,570.40	$3,630.78	$16,982.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $3,630.78 / $8,912.51	Professional		$1,819.70	$3,630.78	$8,912.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $64.57 / $89.13	Professional		$64.57	$64.57	$89.13
Quartz Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,348.96 / $1,905.46	Professional		$741.31	$1,348.96	$1,905.46
Quartz Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $7,413.10 / $17,378.01	Facility		$64.57	$7,413.10	$17,378.01
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $1,698.24 / $1,698.24	Professional		$1,698.24	$1,698.24	$1,698.24
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,715.35 / $3,715.35 / $3,715.35	Professional		$3,715.35	$3,715.35	$3,715.35
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,715.35 / $3,715.35 / $3,715.35	Professional		$3,715.35	$3,715.35	$3,715.35
United Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $588.84 / $3,715.35	Facility		$295.12	$588.84	$3,715.35
United Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $3,388.44 / $9,549.93	Professional		$1,445.44	$3,388.44	$9,549.93