Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $3,801.89 / $7,585.78	Facility		$2,630.27	$3,801.89	$7,585.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $2,570.40 / $3,548.13	Professional		$2,511.89	$2,570.40	$3,548.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $3,162.28 / $5,623.41	Facility		$3,162.28	$3,162.28	$5,623.41
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $2,511.89 / $3,235.94	Professional		$2,511.89	$2,511.89	$3,235.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $3,890.45 / $7,079.46	Facility		$2,511.89	$3,890.45	$7,079.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $2,691.53 / $5,128.61	Professional		$2,511.89	$2,691.53	$5,128.61
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $2,630.27 / $3,019.95	Facility		$2,187.76	$2,630.27	$3,019.95
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $5,248.07 / $5,754.40	Professional		$1,318.26	$5,248.07	$5,754.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $2,570.40 / $3,548.13	Facility		$2,187.76	$2,570.40	$3,548.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $2,818.38 / $12,022.64	Professional		$2,570.40	$2,818.38	$12,022.64
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 $2,511.89 / $3,981.07 / $7,762.47	Professional		$2,511.89	$3,981.07	$7,762.47
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $2,511.89 / $13,182.57	Facility		$2,511.89	$2,511.89	$13,182.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $5,011.87 / $12,022.64	Professional		$2,511.89	$5,011.87	$12,022.64
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $3,162.28 / $4,365.16	Professional		$2,290.87	$3,162.28	$4,365.16
United Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $2,691.53 / $2,691.53	Facility		$2,511.89	$2,691.53	$2,691.53
United Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $2,691.53 / $3,019.95	Professional		$2,511.89	$2,691.53	$3,019.95