Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $4,897.79 / $4,897.79	Facility		$3,467.37	$4,897.79	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $4,570.88 / $8,709.64	Professional		$1,995.26	$4,570.88	$8,709.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $7,943.28 / $12,589.25	Facility		$5,011.87	$7,943.28	$12,589.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $4,570.88 / $8,912.51	Professional		$2,089.30	$4,570.88	$8,912.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,165.95 / $7,244.36 / $11,481.54	Facility		$6,165.95	$7,244.36	$11,481.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,715.35 / $7,079.46 / $7,943.28	Professional		$3,715.35	$7,079.46	$7,943.28
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $6,918.31 / $13,489.63	Facility		$2,511.89	$6,918.31	$13,489.63
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $4,265.80 / $5,888.44 / $7,079.46	Professional		$4,265.80	$5,888.44	$7,079.46
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $3,548.13 / $7,943.28	Facility		$2,187.76	$3,548.13	$7,943.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $3,235.94 / $18,197.01	Professional		$2,089.30	$3,235.94	$18,197.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $2,818.38	Professional		$32.36	$33.11	$2,818.38
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $5,888.44 / $8,128.31	Professional		$3,019.95	$5,888.44	$8,128.31
Quartz Facility/Professional Facility Modifier Low / Median / High Price $6,165.95 / $16,982.44 / $16,982.44	Facility		$6,165.95	$16,982.44	$16,982.44
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,388.44 / $10,232.93 / $17,782.79	Professional		$3,388.44	$10,232.93	$17,782.79
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,365.16 / $4,365.16 / $4,365.16	Professional		$4,365.16	$4,365.16	$4,365.16
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,388.44 / $7,413.10 / $7,413.10	Professional		$3,388.44	$7,413.10	$7,413.10
United Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $4,786.30 / $19,498.45	Facility		$2,290.87	$4,786.30	$19,498.45
United Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $3,235.94 / $6,456.54	Professional		$2,089.30	$3,235.94	$6,456.54