Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $4,570.88 / $14,454.40	Facility		$2,187.76	$4,570.88	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,238.72 / $5,623.41	Professional		$1,905.46	$2,238.72	$5,623.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $10,964.78 / $18,197.01	Facility		$6,606.93	$10,964.78	$18,197.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $4,365.16 / $10,964.78	Professional		$2,238.72	$4,365.16	$10,964.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,754.40 / $6,760.83 / $10,715.19	Facility		$5,754.40	$6,760.83	$10,715.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $8,912.51 / $10,232.93	Professional		$2,754.23	$8,912.51	$10,232.93
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $4,570.88 / $10,232.93	Facility		$2,187.76	$4,570.88	$10,232.93
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $3,981.07 / $5,248.07 / $6,456.54	Professional		$3,981.07	$5,248.07	$6,456.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $4,677.35 / $15,135.61	Facility		$2,238.72	$4,677.35	$15,135.61
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $3,467.37 / $24,547.09	Professional		$2,089.30	$3,467.37	$24,547.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $70.79	Professional		$32.36	$33.11	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $4,786.30 / $7,413.10	Professional		$3,162.28	$4,786.30	$7,413.10
Quartz Facility/Professional Facility Modifier Low / Median / High Price $9,120.11 / $20,417.38 / $20,417.38	Facility		$9,120.11	$20,417.38	$20,417.38
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,890.45 / $10,964.78 / $24,547.09	Professional		$3,890.45	$10,964.78	$24,547.09
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7,244.36 / $7,244.36 / $7,244.36	Professional		$7,244.36	$7,244.36	$7,244.36
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,309.57 / $12,589.25 / $14,125.38	Professional		$6,309.57	$12,589.25	$14,125.38
United Facility/Professional Facility Modifier Low / Median / High Price $7,585.78 / $12,302.69 / $16,218.10	Facility		$7,585.78	$12,302.69	$16,218.10
United Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $3,162.28 / $9,120.11	Professional		$2,041.74	$3,162.28	$9,120.11