Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,128.61 / $7,413.10 / $14,791.08	Facility		$5,128.61	$7,413.10	$14,791.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,897.79 / $4,897.79 / $8,317.64	Professional		$4,897.79	$4,897.79	$8,317.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,165.95 / $6,165.95 / $10,964.78	Facility		$6,165.95	$6,165.95	$10,964.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,897.79 / $4,897.79 / $6,309.57	Professional		$4,897.79	$4,897.79	$6,309.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $2,884.03 / $4,897.79	Facility		$1,380.38	$2,884.03	$4,897.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,011.87 / $6,309.57 / $9,120.11	Professional		$5,011.87	$6,309.57	$9,120.11
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $2,290.87	Facility		$1,047.13	$1,047.13	$2,290.87
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $2,089.30 / $2,089.30	Professional		$1,584.89	$2,089.30	$2,089.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $2,290.87	Facility		$1,047.13	$1,047.13	$2,290.87
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $1,659.59	Professional		$1,047.13	$1,047.13	$1,659.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $64.57 / $85.11	Professional		$64.57	$64.57	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $3,467.37 / $6,606.93	Professional		$1,621.81	$3,467.37	$6,606.93
Quartz Facility/Professional Facility Modifier Low / Median / High Price $4,168.69 / $4,897.79 / $6,309.57	Facility		$4,168.69	$4,897.79	$6,309.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,897.79 / $4,897.79 / $4,897.79	Professional		$4,897.79	$4,897.79	$4,897.79
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,606.93 / $6,606.93 / $8,128.31	Professional		$6,606.93	$6,606.93	$8,128.31
United Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $4,897.79	Facility		$1,047.13	$1,047.13	$4,897.79
United Facility/Professional Professional Modifier Low / Median / High Price $4,897.79 / $4,897.79 / $6,760.83	Professional		$4,897.79	$4,897.79	$6,760.83