Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $4,786.30 / $14,454.40	Facility		$2,570.40	$4,786.30	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,691.53 / $4,786.30	Professional		$2,187.76	$2,691.53	$4,786.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $8,317.64 / $13,803.84	Facility		$5,011.87	$8,317.64	$13,803.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $4,466.84 / $11,481.54	Professional		$2,290.87	$4,466.84	$11,481.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,025.60 / $7,079.46 / $11,220.18	Facility		$6,025.60	$7,079.46	$11,220.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $5,248.07 / $9,772.37	Professional		$2,511.89	$5,248.07	$9,772.37
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $3,019.95 / $8,511.38	Facility		$2,137.96	$3,019.95	$8,511.38
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $4,073.80 / $5,128.61 / $8,128.31	Professional		$4,073.80	$5,128.61	$8,128.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $2,884.03 / $6,165.95	Facility		$2,137.96	$2,884.03	$6,165.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $4,073.80 / $17,782.79	Professional		$2,344.23	$4,073.80	$17,782.79
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 $2,951.21 / $5,370.32 / $8,317.64	Professional		$2,951.21	$5,370.32	$8,317.64
Quartz Facility/Professional Facility Modifier Low / Median / High Price $6,025.60 / $22,387.21 / $22,387.21	Facility		$6,025.60	$22,387.21	$22,387.21
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $11,481.54 / $17,378.01	Professional		$2,454.71	$11,481.54	$17,378.01
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8,709.64 / $8,709.64 / $8,709.64	Professional		$8,709.64	$8,709.64	$8,709.64
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7,244.36 / $9,120.11 / $11,748.98	Professional		$7,244.36	$9,120.11	$11,748.98
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 $2,290.87 / $3,311.31 / $8,912.51	Professional		$2,290.87	$3,311.31	$8,912.51