Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $4,466.84 / $14,454.40	Facility		$2,630.27	$4,466.84	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,570.40 / $6,165.95	Professional		$1,949.84	$2,570.40	$6,165.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $10,964.78 / $19,054.61	Facility		$6,606.93	$10,964.78	$19,054.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $4,168.69 / $10,471.29	Professional		$2,137.96	$4,168.69	$10,471.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,623.41 / $6,606.93 / $10,471.29	Facility		$5,623.41	$6,606.93	$10,471.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $6,760.83 / $7,762.47	Professional		$2,951.21	$6,760.83	$7,762.47
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $6,918.31 / $13,489.63	Facility		$2,344.23	$6,918.31	$13,489.63
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $3,890.45 / $5,370.32 / $6,606.93	Professional		$3,890.45	$5,370.32	$6,606.93
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $3,388.44 / $7,943.28	Facility		$2,187.76	$3,388.44	$7,943.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $3,715.35 / $16,218.10	Professional		$2,187.76	$3,715.35	$16,218.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $2,951.21	Professional		$32.36	$33.11	$2,951.21
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $4,897.79 / $8,317.64	Professional		$2,511.89	$4,897.79	$8,317.64
Quartz Facility/Professional Facility Modifier Low / Median / High Price $5,623.41 / $17,378.01 / $17,378.01	Facility		$5,623.41	$17,378.01	$17,378.01
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $10,471.29 / $15,848.93	Professional		$2,951.21	$10,471.29	$15,848.93
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,248.07 / $5,248.07 / $5,248.07	Professional		$5,248.07	$5,248.07	$5,248.07
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,011.87 / $12,022.64 / $12,882.50	Professional		$5,011.87	$12,022.64	$12,882.50
United Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $6,165.95 / $19,498.45	Facility		$2,290.87	$6,165.95	$19,498.45
United Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $3,235.94 / $9,332.54	Professional		$1,905.46	$3,235.94	$9,332.54