Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $3,090.30 / $14,454.40	Facility		$1,380.38	$3,090.30	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,621.81 / $3,090.30	Professional		$1,380.38	$1,621.81	$3,090.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $10,964.78 / $17,378.01	Facility		$6,606.93	$10,964.78	$17,378.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $2,884.03 / $7,762.47	Professional		$1,479.11	$2,884.03	$7,762.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $4,570.88 / $7,244.36	Facility		$3,890.45	$4,570.88	$7,244.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $5,888.44 / $6,760.83	Professional		$2,454.71	$5,888.44	$6,760.83
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $6,918.31 / $13,489.63	Facility		$1,621.81	$6,918.31	$13,489.63
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $3,715.35 / $4,677.35	Professional		$2,691.53	$3,715.35	$4,677.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $8,317.64 / $15,848.93	Facility		$1,621.81	$8,317.64	$15,848.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $2,691.53 / $12,589.25	Professional		$1,584.89	$2,691.53	$12,589.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $2,041.74	Professional		$32.36	$33.11	$2,041.74
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $3,981.07 / $6,456.54	Professional		$2,041.74	$3,981.07	$6,456.54
Quartz Facility/Professional Facility Modifier Low / Median / High Price $11,748.98 / $21,877.62 / $21,877.62	Facility		$11,748.98	$21,877.62	$21,877.62
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $7,244.36 / $12,589.25	Professional		$2,754.23	$7,244.36	$12,589.25
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,248.07 / $5,248.07 / $5,248.07	Professional		$5,248.07	$5,248.07	$5,248.07
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,011.87 / $8,709.64 / $10,471.29	Professional		$5,011.87	$8,709.64	$10,471.29
United Facility/Professional Facility Modifier Low / Median / High Price $7,585.78 / $12,022.64 / $16,218.10	Facility		$7,585.78	$12,022.64	$16,218.10
United Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $2,454.71 / $6,606.93	Professional		$1,479.11	$2,454.71	$6,606.93