Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $4,168.69 / $14,454.40	Facility		$1,862.09	$4,168.69	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,187.76 / $4,168.69	Professional		$1,862.09	$2,187.76	$4,168.69
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 $1,949.84 / $3,890.45 / $10,471.29	Professional		$1,949.84	$3,890.45	$10,471.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,248.07 / $6,025.60 / $9,772.37	Facility		$5,248.07	$6,025.60	$9,772.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,311.31 / $7,943.28 / $9,120.11	Professional		$3,311.31	$7,943.28	$9,120.11
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $6,918.31 / $13,489.63	Facility		$2,187.76	$6,918.31	$13,489.63
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $3,630.78 / $5,011.87 / $6,309.57	Professional		$3,630.78	$5,011.87	$6,309.57
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $3,548.13 / $7,943.28	Facility		$2,041.74	$3,548.13	$7,943.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $3,630.78 / $15,488.17	Professional		$2,238.72	$3,630.78	$15,488.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,778.28	Professional		$32.36	$33.11	$1,778.28
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $5,370.32 / $8,709.64	Professional		$2,754.23	$5,370.32	$8,709.64
Quartz Facility/Professional Facility Modifier Low / Median / High Price $5,248.07 / $38,904.51 / $38,904.51	Facility		$5,248.07	$38,904.51	$38,904.51
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,715.35 / $9,772.37 / $15,135.61	Professional		$3,715.35	$9,772.37	$15,135.61
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7,079.46 / $7,079.46 / $7,079.46	Professional		$7,079.46	$7,079.46	$7,079.46
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,606.93 / $11,748.98 / $14,125.38	Professional		$6,606.93	$11,748.98	$14,125.38
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 $1,995.26 / $3,311.31 / $8,709.64	Professional		$1,995.26	$3,311.31	$8,709.64