Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $5,623.41 / $14,454.40	Facility		$3,388.44	$5,623.41	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $3,235.94 / $6,918.31	Professional		$2,511.89	$3,235.94	$6,918.31
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 $2,754.23 / $5,370.32 / $13,803.84	Professional		$2,754.23	$5,370.32	$13,803.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7,244.36 / $8,511.38 / $13,489.63	Facility		$7,244.36	$8,511.38	$13,489.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,801.89 / $8,709.64 / $9,772.37	Professional		$3,801.89	$8,709.64	$9,772.37
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $6,918.31 / $13,489.63	Facility		$3,019.95	$6,918.31	$13,489.63
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $4,897.79 / $6,918.31 / $8,511.38	Professional		$4,897.79	$6,918.31	$8,511.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $3,801.89 / $7,943.28	Facility		$2,511.89	$3,801.89	$7,943.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $4,786.30 / $20,892.96	Professional		$2,818.38	$4,786.30	$20,892.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $3,801.89	Professional		$32.36	$33.11	$3,801.89
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $6,165.95 / $10,471.29	Professional		$3,162.28	$6,165.95	$10,471.29
Quartz Facility/Professional Facility Modifier Low / Median / High Price $7,079.46 / $34,673.69 / $34,673.69	Facility		$7,079.46	$34,673.69	$34,673.69
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,801.89 / $13,489.63 / $19,952.62	Professional		$3,801.89	$13,489.63	$19,952.62
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,760.83 / $6,760.83 / $6,760.83	Professional		$6,760.83	$6,760.83	$6,760.83
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,456.54 / $15,488.17 / $16,595.87	Professional		$6,456.54	$15,488.17	$16,595.87
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 $2,454.71 / $4,265.80 / $12,022.64	Professional		$2,454.71	$4,265.80	$12,022.64