Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $4,073.80 / $14,454.40	Facility		$1,949.84	$4,073.80	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,089.30 / $4,466.84	Professional		$1,862.09	$2,089.30	$4,466.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $8,128.31 / $13,489.63	Facility		$5,011.87	$8,128.31	$13,489.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $4,073.80 / $9,772.37	Professional		$1,995.26	$4,073.80	$9,772.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,128.61 / $6,025.60 / $9,549.93	Facility		$5,128.61	$6,025.60	$9,549.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $8,128.31 / $9,332.54	Professional		$2,454.71	$8,128.31	$9,332.54
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $3,388.44 / $5,754.40	Facility		$1,380.38	$3,388.44	$5,754.40
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $3,548.13 / $4,786.30 / $6,165.95	Professional		$3,548.13	$4,786.30	$6,165.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $4,073.80 / $15,135.61	Facility		$1,380.38	$4,073.80	$15,135.61
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $3,388.44 / $15,135.61	Professional		$1,258.93	$3,388.44	$15,135.61
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 $2,884.03 / $4,365.16 / $6,606.93	Professional		$2,884.03	$4,365.16	$6,606.93
Quartz Facility/Professional Facility Modifier Low / Median / High Price $5,128.61 / $25,703.96 / $25,703.96	Facility		$5,128.61	$25,703.96	$25,703.96
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,548.13 / $9,772.37 / $14,791.08	Professional		$3,548.13	$9,772.37	$14,791.08
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,456.54 / $6,456.54 / $6,456.54	Professional		$6,456.54	$6,456.54	$6,456.54
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,623.41 / $11,220.18 / $12,589.25	Professional		$5,623.41	$11,220.18	$12,589.25
United Facility/Professional Facility Modifier Low / Median / High Price $8,912.51 / $13,803.84 / $17,782.79	Facility		$8,912.51	$13,803.84	$17,782.79
United Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $2,884.03 / $8,317.64	Professional		$1,258.93	$2,884.03	$8,317.64