Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $5,011.87 / $14,454.40	Facility		$2,238.72	$5,011.87	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $2,691.53 / $6,918.31	Professional		$2,238.72	$2,691.53	$6,918.31
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 $2,398.83 / $4,677.35 / $12,589.25	Professional		$2,398.83	$4,677.35	$12,589.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,309.57 / $7,413.10 / $11,748.98	Facility		$6,309.57	$7,413.10	$11,748.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,981.07 / $9,549.93 / $10,964.78	Professional		$3,981.07	$9,549.93	$10,964.78
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $6,918.31 / $13,489.63	Facility		$2,454.71	$6,918.31	$13,489.63
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $4,365.16 / $6,025.60 / $7,585.78	Professional		$4,365.16	$6,025.60	$7,585.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $3,548.13 / $7,943.28	Facility		$2,344.23	$3,548.13	$7,943.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $4,466.84 / $18,620.87	Professional		$2,570.40	$4,466.84	$18,620.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $3,388.44	Professional		$32.36	$33.11	$3,388.44
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,311.31 / $6,456.54 / $10,471.29	Professional		$3,311.31	$6,456.54	$10,471.29
Quartz Facility/Professional Facility Modifier Low / Median / High Price $6,309.57 / $35,481.34 / $35,481.34	Facility		$6,309.57	$35,481.34	$35,481.34
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,466.84 / $12,022.64 / $18,620.87	Professional		$4,466.84	$12,022.64	$18,620.87
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8,511.38 / $8,511.38 / $8,511.38	Professional		$8,511.38	$8,511.38	$8,511.38
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8,128.31 / $14,125.38 / $16,982.44	Professional		$8,128.31	$14,125.38	$16,982.44
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 $2,398.83 / $3,801.89 / $10,715.19	Professional		$2,398.83	$3,801.89	$10,715.19