Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $4,466.84 / $14,454.40	Facility		$2,754.23	$4,466.84	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,754.23 / $5,623.41	Professional		$1,995.26	$2,754.23	$5,623.41
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 $2,187.76 / $4,265.80 / $12,022.64	Professional		$2,187.76	$4,265.80	$12,022.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,623.41 / $6,606.93 / $10,471.29	Facility		$5,623.41	$6,606.93	$10,471.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,548.13 / $6,918.31 / $7,943.28	Professional		$3,548.13	$6,918.31	$7,943.28
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $7,244.36 / $13,489.63	Facility		$2,398.83	$7,244.36	$13,489.63
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $4,677.35 / $5,754.40 / $6,760.83	Professional		$4,677.35	$5,754.40	$6,760.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $3,801.89 / $9,549.93	Facility		$2,187.76	$3,801.89	$9,549.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $4,466.84 / $16,595.87	Professional		$2,398.83	$4,466.84	$16,595.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $2,951.21	Professional		$32.36	$33.11	$2,951.21
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,801.89 / $5,495.41 / $9,332.54	Professional		$3,801.89	$5,495.41	$9,332.54
Quartz Facility/Professional Facility Modifier Low / Median / High Price $5,623.41 / $41,686.94 / $41,686.94	Facility		$5,623.41	$41,686.94	$41,686.94
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,168.69 / $10,964.78 / $16,218.10	Professional		$4,168.69	$10,964.78	$16,218.10
Security Health Facility/Professional Professional Modifier Low / Median / High Price $11,481.54 / $11,481.54 / $11,481.54	Professional		$11,481.54	$11,481.54	$11,481.54
Security Health Facility/Professional Professional Modifier Low / Median / High Price $9,549.93 / $15,135.61 / $15,135.61	Professional		$9,549.93	$15,135.61	$15,135.61
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 $2,238.72 / $4,365.16 / $9,772.37	Professional		$2,238.72	$4,365.16	$9,772.37