Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $5,754.40 / $14,454.40	Facility		$2,398.83	$5,754.40	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $2,754.23 / $5,754.40	Professional		$2,398.83	$2,754.23	$5,754.40
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 $2,511.89 / $5,011.87 / $13,489.63	Professional		$2,511.89	$5,011.87	$13,489.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7,244.36 / $8,511.38 / $13,489.63	Facility		$7,244.36	$8,511.38	$13,489.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,570.88 / $11,220.18 / $12,589.25	Professional		$4,570.88	$11,220.18	$12,589.25
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $6,918.31 / $13,489.63	Facility		$2,818.38	$6,918.31	$13,489.63
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $5,011.87 / $6,918.31 / $8,709.64	Professional		$5,011.87	$6,918.31	$8,709.64
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $3,801.89 / $7,943.28	Facility		$2,570.40	$3,801.89	$7,943.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $4,570.88 / $21,379.62	Professional		$2,691.53	$4,570.88	$21,379.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $3,630.78	Professional		$32.36	$33.11	$3,630.78
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,235.94 / $6,309.57 / $10,715.19	Professional		$3,235.94	$6,309.57	$10,715.19
Quartz Facility/Professional Facility Modifier Low / Median / High Price $7,244.36 / $40,738.03 / $40,738.03	Facility		$7,244.36	$40,738.03	$40,738.03
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5,128.61 / $12,589.25 / $20,892.96	Professional		$5,128.61	$12,589.25	$20,892.96
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8,912.51 / $8,912.51 / $8,912.51	Professional		$8,912.51	$8,912.51	$8,912.51
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8,511.38 / $16,218.10 / $19,952.62	Professional		$8,511.38	$16,218.10	$19,952.62
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 $2,511.89 / $4,365.16 / $11,220.18	Professional		$2,511.89	$4,365.16	$11,220.18