Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $4,466.84 / $14,454.40	Facility		$2,089.30	$4,466.84	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,290.87 / $5,495.41	Professional		$1,949.84	$2,290.87	$5,495.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,748.98 / $16,218.10 / $27,542.29	Facility		$11,748.98	$16,218.10	$27,542.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $4,168.69 / $10,471.29	Professional		$1,862.09	$4,168.69	$10,471.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,495.41 / $6,456.54 / $10,471.29	Facility		$5,495.41	$6,456.54	$10,471.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $8,912.51 / $10,471.29	Professional		$2,630.27	$8,912.51	$10,471.29
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $4,365.16 / $10,471.29	Facility		$2,137.96	$4,365.16	$10,471.29
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $3,801.89 / $5,128.61 / $6,606.93	Professional		$3,801.89	$5,128.61	$6,606.93
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $4,466.84 / $19,498.45	Facility		$2,137.96	$4,466.84	$19,498.45
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $3,388.44 / $16,595.87	Professional		$2,089.30	$3,388.44	$16,595.87
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 $3,548.13 / $5,370.32 / $8,317.64	Professional		$3,548.13	$5,370.32	$8,317.64
Quartz Facility/Professional Facility Modifier Low / Median / High Price $5,495.41 / $5,495.41 / $23,442.29	Facility		$5,495.41	$5,495.41	$23,442.29
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,801.89 / $10,471.29 / $16,595.87	Professional		$3,801.89	$10,471.29	$16,595.87
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,918.31 / $6,918.31 / $6,918.31	Professional		$6,918.31	$6,918.31	$6,918.31
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,165.95 / $12,022.64 / $13,803.84	Professional		$6,165.95	$12,022.64	$13,803.84
United Facility/Professional Facility Modifier Low / Median / High Price $8,709.64 / $16,982.44 / $22,387.21	Facility		$8,709.64	$16,982.44	$22,387.21
United Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $3,090.30 / $8,709.64	Professional		$2,089.30	$3,090.30	$8,709.64