Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $8,709.64 / $15,488.17	Facility		$3,890.45	$8,709.64	$15,488.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,890.45 / $4,677.35 / $11,220.18	Professional		$3,890.45	$4,677.35	$11,220.18
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 $4,265.80 / $8,128.31 / $21,877.62	Professional		$4,265.80	$8,128.31	$21,877.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10,964.78 / $12,589.25 / $20,417.38	Facility		$10,964.78	$12,589.25	$20,417.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6,760.83 / $16,595.87 / $19,054.61	Professional		$6,760.83	$16,595.87	$19,054.61
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $4,168.69 / $7,413.10 / $13,489.63	Facility		$4,168.69	$7,413.10	$13,489.63
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $7,585.78 / $10,471.29 / $13,182.57	Professional		$7,585.78	$10,471.29	$13,182.57
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $4,677.35 / $9,549.93	Facility		$2,691.53	$4,677.35	$9,549.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $4,570.88 / $7,762.47 / $32,359.37	Professional		$4,570.88	$7,762.47	$32,359.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $5,888.44	Professional		$32.36	$33.11	$5,888.44
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5,623.41 / $10,964.78 / $18,197.01	Professional		$5,623.41	$10,964.78	$18,197.01
Quartz Facility/Professional Facility Modifier Low / Median / High Price $10,964.78 / $83,176.38 / $83,176.38	Facility		$10,964.78	$83,176.38	$83,176.38
Quartz Facility/Professional Professional Modifier Low / Median / High Price $7,762.47 / $20,892.96 / $32,359.37	Professional		$7,762.47	$20,892.96	$32,359.37
Security Health Facility/Professional Professional Modifier Low / Median / High Price $14,791.08 / $14,791.08 / $14,791.08	Professional		$14,791.08	$14,791.08	$14,791.08
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,606.93 / $24,547.09 / $29,512.09	Professional		$6,606.93	$24,547.09	$29,512.09
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 $4,168.69 / $6,606.93 / $19,054.61	Professional		$4,168.69	$6,606.93	$19,054.61