Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $6,025.60 / $14,454.40	Facility		$3,715.35	$6,025.60	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $3,715.35 / $7,413.10	Professional		$2,754.23	$3,715.35	$7,413.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,882.50 / $18,197.01 / $29,512.09	Facility		$12,882.50	$18,197.01	$29,512.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $5,623.41 / $16,595.87	Professional		$2,951.21	$5,623.41	$16,595.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7,413.10 / $8,709.64 / $13,803.84	Facility		$7,413.10	$8,709.64	$13,803.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,677.35 / $9,120.11 / $10,471.29	Professional		$4,677.35	$9,120.11	$10,471.29
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $7,244.36 / $13,489.63	Facility		$3,235.94	$7,244.36	$13,489.63
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $6,165.95 / $7,762.47 / $8,912.51	Professional		$6,165.95	$7,762.47	$8,912.51
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $4,365.16 / $9,549.93	Facility		$2,570.40	$4,365.16	$9,549.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,548.13 / $6,165.95 / $22,387.21	Professional		$3,548.13	$6,165.95	$22,387.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $4,168.69	Professional		$32.36	$33.11	$4,168.69
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5,248.07 / $7,413.10 / $12,589.25	Professional		$5,248.07	$7,413.10	$12,589.25
Quartz Facility/Professional Facility Modifier Low / Median / High Price $7,585.78 / $72,443.60 / $72,443.60	Facility		$7,585.78	$72,443.60	$72,443.60
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5,011.87 / $14,791.08 / $23,442.29	Professional		$5,011.87	$14,791.08	$23,442.29
Security Health Facility/Professional Professional Modifier Low / Median / High Price $15,135.61 / $15,135.61 / $15,135.61	Professional		$15,135.61	$15,135.61	$15,135.61
Security Health Facility/Professional Professional Modifier Low / Median / High Price $13,803.84 / $20,417.38 / $20,417.38	Professional		$13,803.84	$20,417.38	$20,417.38
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 $3,090.30 / $6,025.60 / $13,182.57	Professional		$3,090.30	$6,025.60	$13,182.57