Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $3,801.89 / $14,454.40	Facility		$1,698.24	$3,801.89	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $1,995.26 / $3,801.89	Professional		$1,698.24	$1,995.26	$3,801.89
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 $1,778.28 / $3,548.13 / $9,549.93	Professional		$1,778.28	$3,548.13	$9,549.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $5,495.41 / $8,912.51	Facility		$4,786.30	$5,495.41	$8,912.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $7,244.36 / $8,317.64	Professional		$2,951.21	$7,244.36	$8,317.64
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $6,918.31 / $13,489.63	Facility		$1,995.26	$6,918.31	$13,489.63
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $3,311.31 / $4,570.88 / $5,623.41	Professional		$3,311.31	$4,570.88	$5,623.41
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $3,630.78 / $7,943.28	Facility		$1,862.09	$3,630.78	$7,943.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $3,311.31 / $14,125.38	Professional		$1,995.26	$3,311.31	$14,125.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $2,511.89	Professional		$32.36	$33.11	$2,511.89
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $4,897.79 / $7,943.28	Professional		$2,511.89	$4,897.79	$7,943.28
Quartz Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $26,915.35 / $26,915.35	Facility		$4,786.30	$26,915.35	$26,915.35
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,388.44 / $8,912.51 / $13,803.84	Professional		$3,388.44	$8,912.51	$13,803.84
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,309.57 / $6,309.57 / $6,309.57	Professional		$6,309.57	$6,309.57	$6,309.57
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,025.60 / $10,715.19 / $12,882.50	Professional		$6,025.60	$10,715.19	$12,882.50
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 $1,819.70 / $3,019.95 / $7,943.28	Professional		$1,819.70	$3,019.95	$7,943.28