Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $6,025.60 / $14,454.40	Facility		$3,235.94	$6,025.60	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $3,311.31 / $6,309.57	Professional		$2,754.23	$3,311.31	$6,309.57
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 $2,754.23 / $5,623.41 / $14,454.40	Professional		$2,754.23	$5,623.41	$14,454.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7,585.78 / $8,912.51 / $14,125.38	Facility		$7,585.78	$8,912.51	$14,125.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,090.30 / $6,309.57 / $12,302.69	Professional		$3,090.30	$6,309.57	$12,302.69
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $3,801.89 / $8,511.38	Facility		$2,754.23	$3,801.89	$8,511.38
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $5,128.61 / $6,456.54 / $9,549.93	Professional		$5,128.61	$6,456.54	$9,549.93
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $3,630.78 / $6,456.54	Facility		$2,691.53	$3,630.78	$6,456.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $5,248.07 / $22,387.21	Professional		$2,951.21	$5,248.07	$22,387.21
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 $3,715.35 / $6,760.83 / $10,471.29	Professional		$3,715.35	$6,760.83	$10,471.29
Quartz Facility/Professional Facility Modifier Low / Median / High Price $7,585.78 / $56,234.13 / $56,234.13	Facility		$7,585.78	$56,234.13	$56,234.13
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $13,803.84 / $21,877.62	Professional		$3,019.95	$13,803.84	$21,877.62
Security Health Facility/Professional Professional Modifier Low / Median / High Price $10,964.78 / $10,964.78 / $10,964.78	Professional		$10,964.78	$10,964.78	$10,964.78
Security Health Facility/Professional Professional Modifier Low / Median / High Price $9,120.11 / $11,220.18 / $14,791.08	Professional		$9,120.11	$11,220.18	$14,791.08
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 $2,754.23 / $4,073.80 / $10,715.19	Professional		$2,754.23	$4,073.80	$10,715.19