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 $1,318.26 / $1,737.80 / $3,548.13	Professional		$1,318.26	$1,737.80	$3,548.13
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 / $2,691.53 / $7,762.47	Professional		$1,380.38	$2,691.53	$7,762.47
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 $2,290.87 / $4,365.16 / $5,495.41	Professional		$2,290.87	$4,365.16	$5,495.41
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $7,244.36 / $13,489.63	Facility		$1,621.81	$7,244.36	$13,489.63
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $3,630.78 / $4,265.80	Professional		$2,951.21	$3,630.78	$4,265.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $3,388.44 / $9,549.93	Facility		$1,621.81	$3,388.44	$9,549.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $3,019.95 / $12,882.50	Professional		$1,737.80	$3,019.95	$12,882.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $2,089.30	Professional		$32.36	$33.11	$2,089.30
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $3,467.37 / $5,888.44	Professional		$2,454.71	$3,467.37	$5,888.44
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $18,197.01 / $18,197.01	Facility		$3,548.13	$18,197.01	$18,197.01
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $7,079.46 / $14,791.08	Professional		$2,398.83	$7,079.46	$14,791.08
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7,244.36 / $7,244.36 / $7,244.36	Professional		$7,244.36	$7,244.36	$7,244.36
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,606.93 / $9,549.93 / $9,772.37	Professional		$6,606.93	$9,549.93	$9,772.37
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 $1,698.24 / $2,884.03 / $6,309.57	Professional		$1,698.24	$2,884.03	$6,309.57