Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $6,309.57 / $14,454.40	Facility		$2,818.38	$6,309.57	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $3,311.31 / $6,309.57	Professional		$2,818.38	$3,311.31	$6,309.57
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 $2,951.21 / $5,888.44 / $15,135.61	Professional		$2,951.21	$5,888.44	$15,135.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7,943.28 / $9,332.54 / $14,791.08	Facility		$7,943.28	$9,332.54	$14,791.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,897.79 / $12,022.64 / $13,803.84	Professional		$4,897.79	$12,022.64	$13,803.84
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $6,918.31 / $13,489.63	Facility		$3,019.95	$6,918.31	$13,489.63
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $5,370.32 / $7,585.78 / $9,332.54	Professional		$5,370.32	$7,585.78	$9,332.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $4,073.80 / $7,943.28	Facility		$2,691.53	$4,073.80	$7,943.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $5,248.07 / $23,442.29	Professional		$3,162.28	$5,248.07	$23,442.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $4,073.80	Professional		$32.36	$33.11	$4,073.80
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,265.80 / $8,317.64 / $13,182.57	Professional		$4,265.80	$8,317.64	$13,182.57
Quartz Facility/Professional Facility Modifier Low / Median / High Price $7,762.47 / $43,651.58 / $43,651.58	Facility		$7,762.47	$43,651.58	$43,651.58
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5,495.41 / $14,791.08 / $22,387.21	Professional		$5,495.41	$14,791.08	$22,387.21
Security Health Facility/Professional Professional Modifier Low / Median / High Price $10,715.19 / $10,715.19 / $10,715.19	Professional		$10,715.19	$10,715.19	$10,715.19
Security Health Facility/Professional Professional Modifier Low / Median / High Price $9,772.37 / $17,782.79 / $21,379.62	Professional		$9,772.37	$17,782.79	$21,379.62
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 $2,951.21 / $4,677.35 / $13,182.57	Professional		$2,951.21	$4,677.35	$13,182.57