Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $8,511.38 / $15,135.61	Facility		$4,570.88	$8,511.38	$15,135.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,981.07 / $4,786.30 / $8,709.64	Professional		$3,981.07	$4,786.30	$8,709.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $10,964.78 / $19,054.61	Facility		$6,606.93	$10,964.78	$19,054.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,168.69 / $7,762.47 / $20,417.38	Professional		$4,168.69	$7,762.47	$20,417.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10,471.29 / $12,302.69 / $19,498.45	Facility		$10,471.29	$12,302.69	$19,498.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,365.16 / $9,332.54 / $17,378.01	Professional		$4,365.16	$9,332.54	$17,378.01
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $5,370.32 / $9,332.54	Facility		$3,715.35	$5,370.32	$9,332.54
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $7,079.46 / $8,912.51 / $14,791.08	Professional		$7,079.46	$8,912.51	$14,791.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $4,786.30 / $8,912.51	Facility		$2,884.03	$4,786.30	$8,912.51
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,801.89 / $7,413.10 / $31,622.78	Professional		$3,801.89	$7,413.10	$31,622.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $70.79	Professional		$32.36	$33.11	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5,370.32 / $9,549.93 / $14,791.08	Professional		$5,370.32	$9,549.93	$14,791.08
Quartz Facility/Professional Facility Modifier Low / Median / High Price $10,715.19 / $77,624.71 / $77,624.71	Facility		$10,715.19	$77,624.71	$77,624.71
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,365.16 / $20,892.96 / $30,902.95	Professional		$4,365.16	$20,892.96	$30,902.95
Security Health Facility/Professional Professional Modifier Low / Median / High Price $15,135.61 / $15,135.61 / $15,135.61	Professional		$15,135.61	$15,135.61	$15,135.61
Security Health Facility/Professional Professional Modifier Low / Median / High Price $13,803.84 / $17,378.01 / $20,892.96	Professional		$13,803.84	$17,378.01	$20,892.96
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 $3,630.78 / $6,025.60 / $16,218.10	Professional		$3,630.78	$6,025.60	$16,218.10