Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $6,606.93 / $14,454.40	Facility		$3,162.28	$6,606.93	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $3,311.31 / $8,709.64	Professional		$2,951.21	$3,311.31	$8,709.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $8,317.64 / $13,182.57	Facility		$5,011.87	$8,317.64	$13,182.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $6,309.57 / $15,848.93	Professional		$3,162.28	$6,309.57	$15,848.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8,317.64 / $9,772.37 / $15,488.17	Facility		$8,317.64	$9,772.37	$15,488.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,168.69 / $13,489.63 / $16,595.87	Professional		$4,168.69	$13,489.63	$16,595.87
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $5,011.87 / $8,317.64	Facility		$3,162.28	$5,011.87	$8,317.64
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $5,754.40 / $7,762.47 / $9,549.93	Professional		$5,754.40	$7,762.47	$9,549.93
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $6,309.57 / $13,182.57	Facility		$3,162.28	$6,309.57	$13,182.57
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,311.31 / $5,754.40 / $23,988.33	Professional		$3,311.31	$5,754.40	$23,988.33
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 $4,677.35 / $7,079.46 / $10,715.19	Professional		$4,677.35	$7,079.46	$10,715.19
Quartz Facility/Professional Facility Modifier Low / Median / High Price $8,317.64 / $26,302.68 / $26,302.68	Facility		$8,317.64	$26,302.68	$26,302.68
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5,754.40 / $15,488.17 / $23,442.29	Professional		$5,754.40	$15,488.17	$23,442.29
Security Health Facility/Professional Professional Modifier Low / Median / High Price $10,471.29 / $10,471.29 / $10,471.29	Professional		$10,471.29	$10,471.29	$10,471.29
Security Health Facility/Professional Professional Modifier Low / Median / High Price $9,120.11 / $18,197.01 / $20,417.38	Professional		$9,120.11	$18,197.01	$20,417.38
United Facility/Professional Facility Modifier Low / Median / High Price $7,585.78 / $12,302.69 / $16,595.87	Facility		$7,585.78	$12,302.69	$16,595.87
United Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $4,897.79 / $13,182.57	Professional		$3,162.28	$4,897.79	$13,182.57