Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $3,715.35 / $14,454.40	Facility		$1,819.70	$3,715.35	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $1,862.09 / $4,466.84	Professional		$1,698.24	$1,862.09	$4,466.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $10,964.78 / $19,054.61	Facility		$6,606.93	$10,964.78	$19,054.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $3,467.37 / $8,709.64	Professional		$1,778.28	$3,467.37	$8,709.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $5,370.32 / $8,709.64	Facility		$4,570.88	$5,370.32	$8,709.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $5,754.40 / $6,456.54	Professional		$2,570.40	$5,754.40	$6,456.54
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $6,918.31 / $13,489.63	Facility		$1,949.84	$6,918.31	$13,489.63
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $4,466.84 / $5,495.41	Professional		$3,162.28	$4,466.84	$5,495.41
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $3,548.13 / $7,943.28	Facility		$1,819.70	$3,548.13	$7,943.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $3,235.94 / $25,118.86	Professional		$1,819.70	$3,235.94	$25,118.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $2,454.71	Professional		$32.36	$33.11	$2,454.71
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $4,073.80 / $6,918.31	Professional		$2,089.30	$4,073.80	$6,918.31
Quartz Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $18,620.87 / $18,620.87	Facility		$4,570.88	$18,620.87	$18,620.87
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $8,912.51 / $25,118.86	Professional		$2,454.71	$8,912.51	$25,118.86
Security Health Facility/Professional Professional Modifier Low / Median / High Price $9,332.54 / $9,332.54 / $9,332.54	Professional		$9,332.54	$9,332.54	$9,332.54
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8,511.38 / $10,715.19 / $13,182.57	Professional		$8,511.38	$10,715.19	$13,182.57
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 $1,778.28 / $2,951.21 / $7,762.47	Professional		$1,778.28	$2,951.21	$7,762.47