Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $4,073.80 / $14,454.40	Facility		$1,819.70	$4,073.80	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,137.96 / $4,073.80	Professional		$1,819.70	$2,137.96	$4,073.80
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 $1,949.84 / $3,801.89 / $10,232.93	Professional		$1,949.84	$3,801.89	$10,232.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,128.61 / $6,025.60 / $9,549.93	Facility		$5,128.61	$6,025.60	$9,549.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,235.94 / $7,943.28 / $8,912.51	Professional		$3,235.94	$7,943.28	$8,912.51
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $6,918.31 / $13,489.63	Facility		$2,137.96	$6,918.31	$13,489.63
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $3,548.13 / $4,897.79 / $6,165.95	Professional		$3,548.13	$4,897.79	$6,165.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $3,801.89 / $7,943.28	Facility		$1,995.26	$3,801.89	$7,943.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $3,630.78 / $16,982.44	Professional		$2,187.76	$3,630.78	$16,982.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $2,691.53	Professional		$32.36	$33.11	$2,691.53
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $5,248.07 / $8,511.38	Professional		$2,691.53	$5,248.07	$8,511.38
Quartz Facility/Professional Facility Modifier Low / Median / High Price $5,128.61 / $28,840.32 / $28,840.32	Facility		$5,128.61	$28,840.32	$28,840.32
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,630.78 / $9,549.93 / $16,982.44	Professional		$3,630.78	$9,549.93	$16,982.44
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,918.31 / $6,918.31 / $6,918.31	Professional		$6,918.31	$6,918.31	$6,918.31
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,606.93 / $11,481.54 / $13,803.84	Professional		$6,606.93	$11,481.54	$13,803.84
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 $1,949.84 / $3,235.94 / $8,709.64	Professional		$1,949.84	$3,235.94	$8,709.64