Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $3,162.28 / $14,454.40	Facility		$1,412.54	$3,162.28	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,659.59 / $3,162.28	Professional		$1,412.54	$1,659.59	$3,162.28
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 $1,479.11 / $2,951.21 / $7,943.28	Professional		$1,479.11	$2,951.21	$7,943.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $4,677.35 / $7,413.10	Facility		$3,981.07	$4,677.35	$7,413.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $6,025.60 / $6,918.31	Professional		$2,511.89	$6,025.60	$6,918.31
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $6,918.31 / $13,489.63	Facility		$1,548.82	$6,918.31	$13,489.63
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $3,801.89 / $4,786.30	Professional		$2,754.23	$3,801.89	$4,786.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $3,162.28 / $7,943.28	Facility		$1,548.82	$3,162.28	$7,943.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,754.23 / $13,803.84	Professional		$1,698.24	$2,754.23	$13,803.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $2,089.30	Professional		$32.36	$33.11	$2,089.30
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $4,073.80 / $6,606.93	Professional		$2,137.96	$4,073.80	$6,606.93
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $22,387.21 / $22,387.21	Facility		$3,981.07	$22,387.21	$22,387.21
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $7,413.10 / $13,803.84	Professional		$2,818.38	$7,413.10	$13,803.84
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,370.32 / $5,370.32 / $5,370.32	Professional		$5,370.32	$5,370.32	$5,370.32
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,011.87 / $8,912.51 / $10,715.19	Professional		$5,011.87	$8,912.51	$10,715.19
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 $1,479.11 / $2,454.71 / $6,606.93	Professional		$1,479.11	$2,454.71	$6,606.93