Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $5,888.44 / $14,454.40	Facility		$3,162.28	$5,888.44	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $3,090.30 / $5,888.44	Professional		$2,570.40	$3,090.30	$5,888.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $11,220.18 / $18,197.01	Facility		$6,606.93	$11,220.18	$18,197.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $5,623.41 / $13,182.57	Professional		$2,818.38	$5,623.41	$13,182.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7,413.10 / $8,709.64 / $13,803.84	Facility		$7,413.10	$8,709.64	$13,803.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,365.16 / $8,709.64 / $9,772.37	Professional		$4,365.16	$8,709.64	$9,772.37
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $6,918.31 / $13,489.63	Facility		$3,162.28	$6,918.31	$13,489.63
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $5,128.61 / $7,079.46 / $8,912.51	Professional		$5,128.61	$7,079.46	$8,912.51
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $3,801.89 / $7,943.28	Facility		$2,570.40	$3,801.89	$7,943.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $5,011.87 / $21,379.62	Professional		$2,951.21	$5,011.87	$21,379.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $3,715.35	Professional		$32.36	$33.11	$3,715.35
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,467.37 / $6,760.83 / $9,332.54	Professional		$3,467.37	$6,760.83	$9,332.54
Quartz Facility/Professional Facility Modifier Low / Median / High Price $7,413.10 / $30,199.52 / $30,199.52	Facility		$7,413.10	$30,199.52	$30,199.52
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,365.16 / $13,803.84 / $20,892.96	Professional		$4,365.16	$13,803.84	$20,892.96
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7,244.36 / $7,244.36 / $7,244.36	Professional		$7,244.36	$7,244.36	$7,244.36
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,760.83 / $15,488.17 / $15,488.17	Professional		$6,760.83	$15,488.17	$15,488.17
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 / $4,265.80 / $12,302.69	Professional		$2,691.53	$4,265.80	$12,302.69