Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $3,801.89 / $14,454.40	Facility		$1,737.80	$3,801.89	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $1,819.70 / $6,165.95	Professional		$1,659.59	$1,819.70	$6,165.95
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 $1,819.70 / $3,630.78 / $8,511.38	Professional		$1,819.70	$3,630.78	$8,511.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $5,754.40 / $9,120.11	Facility		$4,897.79	$5,754.40	$9,120.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $5,495.41 / $6,309.57	Professional		$2,630.27	$5,495.41	$6,309.57
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $6,918.31 / $13,489.63	Facility		$2,041.74	$6,918.31	$13,489.63
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $3,311.31 / $4,570.88 / $5,754.40	Professional		$3,311.31	$4,570.88	$5,754.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $8,317.64 / $15,848.93	Facility		$2,041.74	$8,317.64	$15,848.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $3,235.94 / $14,125.38	Professional		$1,905.46	$3,235.94	$14,125.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $2,570.40	Professional		$32.36	$33.11	$2,570.40
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $4,168.69 / $6,309.57	Professional		$2,137.96	$4,168.69	$6,309.57
Quartz Facility/Professional Facility Modifier Low / Median / High Price $9,120.11 / $25,703.96 / $25,703.96	Facility		$9,120.11	$25,703.96	$25,703.96
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $9,120.11 / $14,125.38	Professional		$2,511.89	$9,120.11	$14,125.38
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,128.61 / $5,128.61 / $5,128.61	Professional		$5,128.61	$5,128.61	$5,128.61
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,754.40 / $8,709.64 / $10,471.29	Professional		$5,754.40	$8,709.64	$10,471.29
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 $1,778.28 / $2,884.03 / $8,128.31	Professional		$1,778.28	$2,884.03	$8,128.31