Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $3,981.07 / $14,454.40	Facility		$1,819.70	$3,981.07	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $1,905.46 / $4,897.79	Professional		$1,698.24	$1,905.46	$4,897.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $10,964.78 / $18,197.01	Facility		$6,606.93	$10,964.78	$18,197.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $3,801.89 / $8,912.51	Professional		$1,905.46	$3,801.89	$8,912.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,128.61 / $6,025.60 / $9,549.93	Facility		$5,128.61	$6,025.60	$9,549.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $5,754.40 / $6,606.93	Professional		$2,754.23	$5,754.40	$6,606.93
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $6,918.31 / $13,489.63	Facility		$2,137.96	$6,918.31	$13,489.63
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $3,467.37 / $4,786.30 / $6,025.60	Professional		$3,467.37	$4,786.30	$6,025.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $8,317.64 / $15,848.93	Facility		$2,137.96	$8,317.64	$15,848.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $3,311.31 / $14,454.40	Professional		$1,949.84	$3,311.31	$14,454.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $2,691.53	Professional		$32.36	$33.11	$2,691.53
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $4,265.80 / $6,456.54	Professional		$2,238.72	$4,265.80	$6,456.54
Quartz Facility/Professional Facility Modifier Low / Median / High Price $9,120.11 / $26,915.35 / $26,915.35	Facility		$9,120.11	$26,915.35	$26,915.35
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $9,332.54 / $14,125.38	Professional		$2,630.27	$9,332.54	$14,125.38
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,370.32 / $5,370.32 / $5,370.32	Professional		$5,370.32	$5,370.32	$5,370.32
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,888.44 / $9,120.11 / $10,964.78	Professional		$5,888.44	$9,120.11	$10,964.78
United Facility/Professional Facility Modifier Low / Median / High Price $7,585.78 / $12,302.69 / $16,218.10	Facility		$7,585.78	$12,302.69	$16,218.10
United Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,951.21 / $8,317.64	Professional		$1,862.09	$2,951.21	$8,317.64