Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $5,754.40 / $14,454.40	Facility		$2,630.27	$5,754.40	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $3,090.30 / $5,754.40	Professional		$2,630.27	$3,090.30	$5,754.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,748.98 / $16,218.10 / $27,542.29	Facility		$11,748.98	$16,218.10	$27,542.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $5,370.32 / $14,454.40	Professional		$2,818.38	$5,370.32	$14,454.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7,244.36 / $8,511.38 / $13,489.63	Facility		$7,244.36	$8,511.38	$13,489.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,570.88 / $11,220.18 / $12,589.25	Professional		$4,570.88	$11,220.18	$12,589.25
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $6,918.31 / $13,489.63	Facility		$2,818.38	$6,918.31	$13,489.63
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $5,011.87 / $6,918.31 / $8,709.64	Professional		$5,011.87	$6,918.31	$8,709.64
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 $3,090.30 / $5,128.61 / $21,379.62	Professional		$3,090.30	$5,128.61	$21,379.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $3,801.89	Professional		$32.36	$33.11	$3,801.89
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,801.89 / $7,413.10 / $12,022.64	Professional		$3,801.89	$7,413.10	$12,022.64
Quartz Facility/Professional Facility Modifier Low / Median / High Price $7,244.36 / $41,686.94 / $41,686.94	Facility		$7,244.36	$41,686.94	$41,686.94
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5,128.61 / $13,803.84 / $21,379.62	Professional		$5,128.61	$13,803.84	$21,379.62
Security Health Facility/Professional Professional Modifier Low / Median / High Price $9,772.37 / $9,772.37 / $9,772.37	Professional		$9,772.37	$9,772.37	$9,772.37
Security Health Facility/Professional Professional Modifier Low / Median / High Price $9,332.54 / $16,218.10 / $19,498.45	Professional		$9,332.54	$16,218.10	$19,498.45
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 $2,818.38 / $4,677.35 / $12,302.69	Professional		$2,818.38	$4,677.35	$12,302.69