Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $6,918.31 / $14,454.40	Facility		$3,715.35	$6,918.31	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $3,801.89 / $7,079.46	Professional		$3,162.28	$3,801.89	$7,079.46
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 $3,311.31 / $6,309.57 / $16,595.87	Professional		$3,311.31	$6,309.57	$16,595.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8,709.64 / $10,000.00 / $16,218.10	Facility		$8,709.64	$10,000.00	$16,218.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,548.13 / $7,585.78 / $14,125.38	Professional		$3,548.13	$7,585.78	$14,125.38
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $4,265.80 / $8,709.64	Facility		$3,090.30	$4,265.80	$8,709.64
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $5,888.44 / $7,244.36 / $10,964.78	Professional		$5,888.44	$7,244.36	$10,964.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $3,981.07 / $7,413.10	Facility		$2,884.03	$3,981.07	$7,413.10
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,388.44 / $5,888.44 / $25,703.96	Professional		$3,388.44	$5,888.44	$25,703.96
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 $4,265.80 / $7,762.47 / $12,022.64	Professional		$4,265.80	$7,762.47	$12,022.64
Quartz Facility/Professional Facility Modifier Low / Median / High Price $8,709.64 / $31,622.78 / $31,622.78	Facility		$8,709.64	$31,622.78	$31,622.78
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,467.37 / $16,595.87 / $26,302.68	Professional		$3,467.37	$16,595.87	$26,302.68
Security Health Facility/Professional Professional Modifier Low / Median / High Price $12,302.69 / $12,302.69 / $12,302.69	Professional		$12,302.69	$12,302.69	$12,302.69
Security Health Facility/Professional Professional Modifier Low / Median / High Price $10,471.29 / $13,182.57 / $16,982.44	Professional		$10,471.29	$13,182.57	$16,982.44
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 $3,311.31 / $4,677.35 / $12,882.50	Professional		$3,311.31	$4,677.35	$12,882.50