Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $2,884.03 / $2,884.03	Facility		$2,884.03	$2,884.03	$2,884.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $2,951.21 / $4,168.69	Professional		$2,884.03	$2,951.21	$4,168.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,370.32 / $6,309.57 / $6,456.54	Facility		$5,370.32	$6,309.57	$6,456.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $3,019.95 / $3,715.35	Professional		$1,148.15	$3,019.95	$3,715.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $4,786.30 / $8,317.64	Facility		$3,090.30	$4,786.30	$8,317.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,344.23 / $3,090.30	Professional		$1,905.46	$2,344.23	$3,090.30
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $2,290.87 / $2,884.03	Facility		$1,122.02	$2,290.87	$2,884.03
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $602.56 / $3,467.37	Professional		$602.56	$602.56	$3,467.37
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $2,290.87 / $2,884.03	Facility		$1,122.02	$2,290.87	$2,884.03
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $3,019.95 / $3,890.45	Professional		$3,019.95	$3,019.95	$3,890.45
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 $1,445.44 / $2,691.53 / $3,981.07	Professional		$1,445.44	$2,691.53	$3,981.07
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $3,090.30 / $14,454.40	Facility		$3,090.30	$3,090.30	$14,454.40
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,090.30 / $3,090.30 / $3,090.30	Professional		$3,090.30	$3,090.30	$3,090.30
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,041.74 / $3,801.89	Professional		$2,041.74	$2,041.74	$3,801.89
United Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $2,754.23 / $2,884.03	Facility		$2,754.23	$2,754.23	$2,884.03
United Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $3,019.95 / $4,168.69	Professional		$3,019.95	$3,019.95	$4,168.69