Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $4,168.69 / $14,454.40	Facility		$2,570.40	$4,168.69	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,570.40 / $5,248.07	Professional		$1,862.09	$2,570.40	$5,248.07
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 $1,995.26 / $3,890.45 / $11,220.18	Professional		$1,995.26	$3,890.45	$11,220.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,248.07 / $6,165.95 / $9,772.37	Facility		$5,248.07	$6,165.95	$9,772.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,311.31 / $6,456.54 / $7,244.36	Professional		$3,311.31	$6,456.54	$7,244.36
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $7,244.36 / $13,489.63	Facility		$2,238.72	$7,244.36	$13,489.63
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $4,365.16 / $5,370.32 / $6,309.57	Professional		$4,365.16	$5,370.32	$6,309.57
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $3,548.13 / $9,549.93	Facility		$2,041.74	$3,548.13	$9,549.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $4,073.80 / $15,488.17	Professional		$2,290.87	$4,073.80	$15,488.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $2,754.23	Professional		$32.36	$33.11	$2,754.23
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,548.13 / $5,011.87 / $8,709.64	Professional		$3,548.13	$5,011.87	$8,709.64
Quartz Facility/Professional Facility Modifier Low / Median / High Price $5,248.07 / $38,904.51 / $38,904.51	Facility		$5,248.07	$38,904.51	$38,904.51
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,801.89 / $10,000.00 / $15,135.61	Professional		$3,801.89	$10,000.00	$15,135.61
Security Health Facility/Professional Professional Modifier Low / Median / High Price $10,715.19 / $10,715.19 / $10,715.19	Professional		$10,715.19	$10,715.19	$10,715.19
Security Health Facility/Professional Professional Modifier Low / Median / High Price $9,332.54 / $14,125.38 / $14,125.38	Professional		$9,332.54	$14,125.38	$14,125.38
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 $2,041.74 / $4,073.80 / $9,120.11	Professional		$2,041.74	$4,073.80	$9,120.11