Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $3,548.13 / $14,454.40	Facility		$2,187.76	$3,548.13	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,187.76 / $4,466.84	Professional		$1,659.59	$2,187.76	$4,466.84
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 $1,778.28 / $3,388.44 / $9,772.37	Professional		$1,778.28	$3,388.44	$9,772.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $5,128.61 / $8,317.64	Facility		$4,466.84	$5,128.61	$8,317.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $5,495.41 / $6,309.57	Professional		$3,019.95	$5,495.41	$6,309.57
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $7,413.10 / $14,454.40	Facility		$2,041.74	$7,413.10	$14,454.40
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $3,715.35 / $4,570.88 / $5,370.32	Professional		$3,715.35	$4,570.88	$5,370.32
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $3,467.37 / $9,549.93	Facility		$1,905.46	$3,467.37	$9,549.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $3,715.35 / $10,000.00	Professional		$2,187.76	$3,715.35	$10,000.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $2,454.71	Professional		$32.36	$33.11	$2,454.71
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,090.30 / $4,365.16 / $7,413.10	Professional		$3,090.30	$4,365.16	$7,413.10
Quartz Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $4,466.84 / $33,113.11	Facility		$4,466.84	$4,466.84	$33,113.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $8,709.64 / $12,882.50	Professional		$3,019.95	$8,709.64	$12,882.50
Security Health Facility/Professional Professional Modifier Low / Median / High Price $9,120.11 / $9,120.11 / $9,120.11	Professional		$9,120.11	$9,120.11	$9,120.11
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8,317.64 / $12,022.64 / $12,302.69	Professional		$8,317.64	$12,022.64	$12,302.69
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 $2,089.30 / $3,715.35 / $7,943.28	Professional		$2,089.30	$3,715.35	$7,943.28