Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,168.69 / $9,549.93 / $9,549.93	Facility		$4,168.69	$9,549.93	$9,549.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,884.03 / $4,168.69	Professional		$2,089.30	$2,884.03	$4,168.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $199.53 / $12,302.69	Professional		$169.82	$199.53	$12,302.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9,549.93 / $11,220.18 / $17,782.79	Facility		$9,549.93	$11,220.18	$17,782.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,630.78 / $4,677.35 / $10,964.78	Professional		$3,630.78	$4,677.35	$10,964.78
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $14,454.40 / $21,877.62	Facility		$3,548.13	$14,454.40	$21,877.62
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $20,892.96 / $20,892.96 / $23,442.29	Professional		$20,892.96	$20,892.96	$23,442.29
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $4,168.69 / $12,302.69	Facility		$3,162.28	$4,168.69	$12,302.69
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $2,089.30 / $17,378.01	Professional		$1,584.89	$2,089.30	$17,378.01
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 $5,623.41 / $8,128.31 / $11,481.54	Professional		$5,623.41	$8,128.31	$11,481.54
Quartz Facility/Professional Facility Modifier Low / Median / High Price $6,918.31 / $16,595.87 / $16,595.87	Facility		$6,918.31	$16,595.87	$16,595.87
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5,011.87 / $13,803.84 / $17,378.01	Professional		$5,011.87	$13,803.84	$17,378.01
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7,413.10 / $7,413.10 / $7,413.10	Professional		$7,413.10	$7,413.10	$7,413.10
Security Health Facility/Professional Professional Modifier Low / Median / High Price $18,197.01 / $19,054.61 / $19,054.61	Professional		$18,197.01	$19,054.61	$19,054.61
United Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $2,818.38 / $4,168.69	Facility		$2,818.38	$2,818.38	$4,168.69
United Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $2,089.30 / $5,754.40	Professional		$1,479.11	$2,089.30	$5,754.40