Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $2,818.38 / $14,454.40	Facility		$1,737.80	$2,818.38	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,737.80 / $4,897.79	Professional		$1,258.93	$1,737.80	$4,897.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $10,964.78 / $18,197.01	Facility		$6,606.93	$10,964.78	$18,197.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $2,630.27 / $7,585.78	Professional		$1,380.38	$2,630.27	$7,585.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $4,073.80 / $6,606.93	Facility		$3,548.13	$4,073.80	$6,606.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $4,265.80 / $5,495.41	Professional		$2,187.76	$4,265.80	$5,495.41
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $7,244.36 / $13,489.63	Facility		$1,584.89	$7,244.36	$13,489.63
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $3,630.78 / $4,168.69	Professional		$2,951.21	$3,630.78	$4,168.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $3,019.95 / $9,549.93	Facility		$1,584.89	$3,019.95	$9,549.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,884.03 / $10,471.29	Professional		$1,659.59	$2,884.03	$10,471.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,949.84	Professional		$32.36	$33.11	$1,949.84
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $3,548.13 / $5,888.44	Professional		$2,511.89	$3,548.13	$5,888.44
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $25,703.96 / $25,703.96	Facility		$3,548.13	$25,703.96	$25,703.96
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $6,760.83 / $10,232.93	Professional		$2,398.83	$6,760.83	$10,232.93
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7,079.46 / $7,079.46 / $7,079.46	Professional		$7,079.46	$7,079.46	$7,079.46
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,456.54 / $9,549.93 / $9,549.93	Professional		$6,456.54	$9,549.93	$9,549.93
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 $1,621.81 / $2,754.23 / $6,165.95	Professional		$1,621.81	$2,754.23	$6,165.95