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 / $5,128.61	Professional		$1,862.09	$2,570.40	$5,128.61
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 / $10,964.78	Professional		$1,995.26	$3,890.45	$10,964.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,128.61 / $6,025.60 / $9,549.93	Facility		$5,128.61	$6,025.60	$9,549.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,235.94 / $6,309.57 / $7,244.36	Professional		$3,235.94	$6,309.57	$7,244.36
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $7,244.36 / $13,489.63	Facility		$2,187.76	$7,244.36	$13,489.63
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $4,265.80 / $5,370.32 / $6,165.95	Professional		$4,265.80	$5,370.32	$6,165.95
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 $2,238.72 / $4,073.80 / $15,135.61	Professional		$2,238.72	$4,073.80	$15,135.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $2,691.53	Professional		$32.36	$33.11	$2,691.53
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,548.13 / $5,011.87 / $8,511.38	Professional		$3,548.13	$5,011.87	$8,511.38
Quartz Facility/Professional Facility Modifier Low / Median / High Price $5,128.61 / $38,018.94 / $38,018.94	Facility		$5,128.61	$38,018.94	$38,018.94
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,801.89 / $10,000.00 / $14,791.08	Professional		$3,801.89	$10,000.00	$14,791.08
Security Health Facility/Professional Professional Modifier Low / Median / High Price $10,471.29 / $10,471.29 / $10,471.29	Professional		$10,471.29	$10,471.29	$10,471.29
Security Health Facility/Professional Professional Modifier Low / Median / High Price $9,332.54 / $13,803.84 / $14,125.38	Professional		$9,332.54	$13,803.84	$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 $1,949.84 / $3,981.07 / $8,912.51	Professional		$1,949.84	$3,981.07	$8,912.51