Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $4,265.80 / $8,511.38	Facility		$2,884.03	$4,265.80	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $2,818.38 / $3,890.45	Professional		$2,818.38	$2,818.38	$3,890.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $3,548.13 / $6,309.57	Facility		$3,548.13	$3,548.13	$6,309.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $2,818.38 / $3,548.13	Professional		$2,818.38	$2,818.38	$3,548.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $3,981.07 / $7,244.36	Facility		$2,818.38	$3,981.07	$7,244.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $2,951.21 / $5,754.40	Professional		$2,818.38	$2,951.21	$5,754.40
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $2,691.53 / $3,019.95	Facility		$2,691.53	$2,691.53	$3,019.95
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $5,370.32 / $6,456.54	Professional		$2,951.21	$5,370.32	$6,456.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $2,691.53 / $3,019.95	Facility		$2,691.53	$2,691.53	$3,019.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $3,019.95 / $11,748.98	Professional		$2,691.53	$3,019.95	$11,748.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $64.57 / $85.11	Professional		$50.12	$64.57	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $4,365.16 / $8,128.31	Professional		$2,818.38	$4,365.16	$8,128.31
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $2,818.38 / $13,489.63	Facility		$2,818.38	$2,818.38	$13,489.63
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $4,677.35 / $11,748.98	Professional		$2,818.38	$4,677.35	$11,748.98
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,801.89 / $3,801.89 / $4,677.35	Professional		$3,801.89	$3,801.89	$4,677.35
United Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $2,630.27 / $2,818.38	Facility		$2,630.27	$2,630.27	$2,818.38
United Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $3,019.95 / $3,235.94	Professional		$2,818.38	$3,019.95	$3,235.94