Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $3,890.45 / $14,454.40	Facility		$1,905.46	$3,890.45	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $1,949.84 / $4,677.35	Professional		$1,778.28	$1,949.84	$4,677.35
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 $1,862.09 / $3,630.78 / $9,120.11	Professional		$1,862.09	$3,630.78	$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 $2,691.53 / $6,025.60 / $6,760.83	Professional		$2,691.53	$6,025.60	$6,760.83
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $6,918.31 / $13,489.63	Facility		$2,041.74	$6,918.31	$13,489.63
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $3,311.31 / $4,677.35 / $5,754.40	Professional		$3,311.31	$4,677.35	$5,754.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $3,548.13 / $7,943.28	Facility		$1,905.46	$3,548.13	$7,943.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $3,388.44 / $24,547.09	Professional		$1,905.46	$3,388.44	$24,547.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $2,511.89	Professional		$32.36	$33.11	$2,511.89
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $4,265.80 / $7,244.36	Professional		$2,187.76	$4,265.80	$7,244.36
Quartz Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $19,498.45 / $19,498.45	Facility		$4,786.30	$19,498.45	$19,498.45
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $9,332.54 / $24,547.09	Professional		$2,570.40	$9,332.54	$24,547.09
Security Health Facility/Professional Professional Modifier Low / Median / High Price $9,549.93 / $9,549.93 / $9,549.93	Professional		$9,549.93	$9,549.93	$9,549.93
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8,709.64 / $10,964.78 / $13,803.84	Professional		$8,709.64	$10,964.78	$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 $1,819.70 / $3,019.95 / $8,128.31	Professional		$1,819.70	$3,019.95	$8,128.31