Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $3,801.89 / $14,454.40	Facility		$2,041.74	$3,801.89	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,041.74 / $3,715.35	Professional		$1,737.80	$2,041.74	$3,715.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $8,128.31 / $13,489.63	Facility		$5,011.87	$8,128.31	$13,489.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $3,467.37 / $9,120.11	Professional		$1,862.09	$3,467.37	$9,120.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $5,623.41 / $8,912.51	Facility		$4,786.30	$5,623.41	$8,912.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $4,073.80 / $7,762.47	Professional		$1,949.84	$4,073.80	$7,762.47
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $2,398.83 / $8,511.38	Facility		$1,737.80	$2,398.83	$8,511.38
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $3,235.94 / $3,981.07 / $6,309.57	Professional		$3,235.94	$3,981.07	$6,309.57
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $2,454.71 / $5,888.44	Facility		$1,778.28	$2,454.71	$5,888.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $3,311.31 / $13,803.84	Professional		$1,949.84	$3,311.31	$13,803.84
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 $2,238.72 / $3,981.07 / $6,165.95	Professional		$2,238.72	$3,981.07	$6,165.95
Quartz Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $16,982.44 / $16,982.44	Facility		$4,786.30	$16,982.44	$16,982.44
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $9,332.54 / $13,489.63	Professional		$1,949.84	$9,332.54	$13,489.63
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,760.83 / $6,760.83 / $6,760.83	Professional		$6,760.83	$6,760.83	$6,760.83
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,754.40 / $7,413.10 / $9,332.54	Professional		$5,754.40	$7,413.10	$9,332.54
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 $1,819.70 / $2,630.27 / $7,244.36	Professional		$1,819.70	$2,630.27	$7,244.36