Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $7,244.36 / $14,454.40	Facility		$3,890.45	$7,244.36	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,467.37 / $4,073.80 / $7,413.10	Professional		$3,467.37	$4,073.80	$7,413.10
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 $3,548.13 / $6,760.83 / $17,378.01	Professional		$3,548.13	$6,760.83	$17,378.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9,120.11 / $10,715.19 / $16,982.44	Facility		$9,120.11	$10,715.19	$16,982.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,801.89 / $7,943.28 / $14,791.08	Professional		$3,801.89	$7,943.28	$14,791.08
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $4,570.88 / $8,912.51	Facility		$3,162.28	$4,570.88	$8,912.51
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $6,165.95 / $7,762.47 / $12,589.25	Professional		$6,165.95	$7,762.47	$12,589.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $4,168.69 / $7,762.47	Facility		$2,691.53	$4,168.69	$7,762.47
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,235.94 / $6,309.57 / $26,915.35	Professional		$3,235.94	$6,309.57	$26,915.35
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 $4,570.88 / $8,317.64 / $12,882.50	Professional		$4,570.88	$8,317.64	$12,882.50
Quartz Facility/Professional Facility Modifier Low / Median / High Price $9,120.11 / $67,608.30 / $67,608.30	Facility		$9,120.11	$67,608.30	$67,608.30
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,715.35 / $17,782.79 / $26,302.68	Professional		$3,715.35	$17,782.79	$26,302.68
Security Health Facility/Professional Professional Modifier Low / Median / High Price $13,182.57 / $13,182.57 / $13,182.57	Professional		$13,182.57	$13,182.57	$13,182.57
Security Health Facility/Professional Professional Modifier Low / Median / High Price $11,481.54 / $14,454.40 / $17,782.79	Professional		$11,481.54	$14,454.40	$17,782.79
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 $3,162.28 / $5,011.87 / $13,803.84	Professional		$3,162.28	$5,011.87	$13,803.84