Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $3,548.13 / $14,454.40	Facility		$1,621.81	$3,548.13	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,698.24 / $4,365.16	Professional		$1,548.82	$1,698.24	$4,365.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $10,964.78 / $19,054.61	Facility		$6,606.93	$10,964.78	$19,054.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $3,311.31 / $7,943.28	Professional		$1,698.24	$3,311.31	$7,943.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $5,248.07 / $8,511.38	Facility		$4,466.84	$5,248.07	$8,511.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $5,128.61 / $5,754.40	Professional		$2,511.89	$5,128.61	$5,754.40
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $6,918.31 / $13,489.63	Facility		$1,905.46	$6,918.31	$13,489.63
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $3,090.30 / $4,265.80 / $5,370.32	Professional		$3,090.30	$4,265.80	$5,370.32
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $3,467.37 / $7,943.28	Facility		$1,737.80	$3,467.37	$7,943.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $3,090.30 / $14,125.38	Professional		$1,778.28	$3,090.30	$14,125.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $2,398.83	Professional		$32.36	$33.11	$2,398.83
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $3,801.89 / $5,888.44	Professional		$1,949.84	$3,801.89	$5,888.44
Quartz Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $23,988.33 / $23,988.33	Facility		$4,466.84	$23,988.33	$23,988.33
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $8,511.38 / $14,125.38	Professional		$2,344.23	$8,511.38	$14,125.38
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,786.30 / $4,786.30 / $4,786.30	Professional		$4,786.30	$4,786.30	$4,786.30
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,370.32 / $8,128.31 / $9,772.37	Professional		$5,370.32	$8,128.31	$9,772.37
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 $1,659.59 / $2,691.53 / $7,413.10	Professional		$1,659.59	$2,691.53	$7,413.10