Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $8,317.64 / $14,791.08	Facility		$4,466.84	$8,317.64	$14,791.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,715.35 / $4,570.88 / $8,128.31	Professional		$3,715.35	$4,570.88	$8,128.31
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 $3,981.07 / $7,585.78 / $19,498.45	Professional		$3,981.07	$7,585.78	$19,498.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10,232.93 / $12,022.64 / $19,054.61	Facility		$10,232.93	$12,022.64	$19,054.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,265.80 / $9,120.11 / $16,595.87	Professional		$4,265.80	$9,120.11	$16,595.87
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $5,011.87 / $8,912.51	Facility		$3,715.35	$5,011.87	$8,912.51
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $6,918.31 / $8,709.64 / $12,302.69	Professional		$6,918.31	$8,709.64	$12,302.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $4,677.35 / $8,511.38	Facility		$3,311.31	$4,677.35	$8,511.38
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,981.07 / $6,918.31 / $31,622.78	Professional		$3,981.07	$6,918.31	$31,622.78
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 $5,128.61 / $9,120.11 / $14,454.40	Professional		$5,128.61	$9,120.11	$14,454.40
Quartz Facility/Professional Facility Modifier Low / Median / High Price $10,232.93 / $38,018.94 / $38,018.94	Facility		$10,232.93	$38,018.94	$38,018.94
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,168.69 / $19,952.62 / $33,113.11	Professional		$4,168.69	$19,952.62	$33,113.11
Security Health Facility/Professional Professional Modifier Low / Median / High Price $14,791.08 / $14,791.08 / $14,791.08	Professional		$14,791.08	$14,791.08	$14,791.08
Security Health Facility/Professional Professional Modifier Low / Median / High Price $12,589.25 / $15,135.61 / $19,952.62	Professional		$12,589.25	$15,135.61	$19,952.62
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 $3,801.89 / $5,495.41 / $15,488.17	Professional		$3,801.89	$5,495.41	$15,488.17