Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $4,897.79 / $14,454.40	Facility		$2,238.72	$4,897.79	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,454.71 / $4,897.79	Professional		$2,137.96	$2,454.71	$4,897.79
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 $2,344.23 / $4,677.35 / $12,022.64	Professional		$2,344.23	$4,677.35	$12,022.64
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 $3,890.45 / $9,549.93 / $10,964.78	Professional		$3,890.45	$9,549.93	$10,964.78
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $6,918.31 / $13,489.63	Facility		$2,630.27	$6,918.31	$13,489.63
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $4,265.80 / $5,888.44 / $7,413.10	Professional		$4,265.80	$5,888.44	$7,413.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $3,548.13 / $7,943.28	Facility		$2,238.72	$3,548.13	$7,943.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $4,365.16 / $18,197.01	Professional		$2,454.71	$4,365.16	$18,197.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $3,311.31	Professional		$32.36	$33.11	$3,311.31
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $5,248.07 / $9,120.11	Professional		$2,691.53	$5,248.07	$9,120.11
Quartz Facility/Professional Facility Modifier Low / Median / High Price $6,165.95 / $33,113.11 / $33,113.11	Facility		$6,165.95	$33,113.11	$33,113.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,365.16 / $11,748.98 / $17,378.01	Professional		$4,365.16	$11,748.98	$17,378.01
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 $7,762.47 / $14,125.38 / $16,982.44	Professional		$7,762.47	$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 $2,344.23 / $3,801.89 / $10,471.29	Professional		$2,344.23	$3,801.89	$10,471.29