Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $5,623.41 / $14,454.40	Facility		$3,019.95	$5,623.41	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $3,090.30 / $6,025.60	Professional		$2,570.40	$3,090.30	$6,025.60
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 $2,691.53 / $5,128.61 / $13,489.63	Professional		$2,691.53	$5,128.61	$13,489.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7,079.46 / $8,317.64 / $13,182.57	Facility		$7,079.46	$8,317.64	$13,182.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $6,165.95 / $11,481.54	Professional		$2,951.21	$6,165.95	$11,481.54
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $3,548.13 / $8,511.38	Facility		$2,630.27	$3,548.13	$8,511.38
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $4,786.30 / $5,888.44 / $9,549.93	Professional		$4,786.30	$5,888.44	$9,549.93
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $3,467.37 / $6,309.57	Facility		$2,570.40	$3,467.37	$6,309.57
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $4,897.79 / $20,892.96	Professional		$2,818.38	$4,897.79	$20,892.96
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 $3,467.37 / $6,309.57 / $9,772.37	Professional		$3,467.37	$6,309.57	$9,772.37
Quartz Facility/Professional Facility Modifier Low / Median / High Price $7,079.46 / $28,840.32 / $28,840.32	Facility		$7,079.46	$28,840.32	$28,840.32
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $13,489.63 / $20,417.38	Professional		$2,884.03	$13,489.63	$20,417.38
Security Health Facility/Professional Professional Modifier Low / Median / High Price $10,232.93 / $10,232.93 / $10,232.93	Professional		$10,232.93	$10,232.93	$10,232.93
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8,511.38 / $10,715.19 / $13,803.84	Professional		$8,511.38	$10,715.19	$13,803.84
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 $2,691.53 / $3,890.45 / $10,471.29	Professional		$2,691.53	$3,890.45	$10,471.29