Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $5,370.32 / $14,454.40	Facility		$2,454.71	$5,370.32	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $2,818.38 / $5,370.32	Professional		$2,454.71	$2,818.38	$5,370.32
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 $2,570.40 / $5,128.61 / $13,803.84	Professional		$2,570.40	$5,128.61	$13,803.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,760.83 / $7,943.28 / $12,882.50	Facility		$6,760.83	$7,943.28	$12,882.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,265.80 / $10,471.29 / $11,748.98	Professional		$4,265.80	$10,471.29	$11,748.98
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $6,918.31 / $13,489.63	Facility		$2,884.03	$6,918.31	$13,489.63
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $4,677.35 / $6,456.54 / $8,128.31	Professional		$4,677.35	$6,456.54	$8,128.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $3,801.89 / $7,943.28	Facility		$2,454.71	$3,801.89	$7,943.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $4,265.80 / $19,952.62	Professional		$2,630.27	$4,265.80	$19,952.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $3,090.30	Professional		$32.36	$33.11	$3,090.30
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,630.78 / $7,079.46 / $11,220.18	Professional		$3,630.78	$7,079.46	$11,220.18
Quartz Facility/Professional Facility Modifier Low / Median / High Price $6,760.83 / $38,018.94 / $38,018.94	Facility		$6,760.83	$38,018.94	$38,018.94
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,786.30 / $12,882.50 / $19,498.45	Professional		$4,786.30	$12,882.50	$19,498.45
Security Health Facility/Professional Professional Modifier Low / Median / High Price $9,332.54 / $9,332.54 / $9,332.54	Professional		$9,332.54	$9,332.54	$9,332.54
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7,762.47 / $15,135.61 / $18,620.87	Professional		$7,762.47	$15,135.61	$18,620.87
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 $2,570.40 / $4,073.80 / $11,220.18	Professional		$2,570.40	$4,073.80	$11,220.18