Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,168.69 / $9,549.93 / $9,549.93	Facility		$4,168.69	$9,549.93	$9,549.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $3,019.95 / $4,168.69	Professional		$2,454.71	$3,019.95	$4,168.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,585.78 / $9,332.54 / $9,549.93	Facility		$7,585.78	$9,332.54	$9,549.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $239.88 / $14,125.38	Professional		$239.88	$239.88	$14,125.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9,549.93 / $11,220.18 / $17,782.79	Facility		$9,549.93	$11,220.18	$17,782.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,981.07 / $8,912.51 / $10,964.78	Professional		$3,981.07	$8,912.51	$10,964.78
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $14,454.40 / $20,417.38	Facility		$3,890.45	$14,454.40	$20,417.38
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $20,892.96 / $20,892.96 / $23,442.29	Professional		$20,892.96	$20,892.96	$23,442.29
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $4,466.84 / $12,302.69	Facility		$3,162.28	$4,466.84	$12,302.69
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $2,089.30 / $17,378.01	Professional		$1,584.89	$2,089.30	$17,378.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $64.57 / $1,737.80	Professional		$50.12	$64.57	$1,737.80
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5,623.41 / $8,317.64 / $11,481.54	Professional		$5,623.41	$8,317.64	$11,481.54
Quartz Facility/Professional Facility Modifier Low / Median / High Price $7,079.46 / $16,595.87 / $16,595.87	Facility		$7,079.46	$16,595.87	$16,595.87
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5,128.61 / $17,378.01 / $17,378.01	Professional		$5,128.61	$17,378.01	$17,378.01
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,467.37 / $3,467.37 / $7,413.10	Professional		$3,467.37	$3,467.37	$7,413.10
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,467.37 / $3,467.37 / $21,379.62	Professional		$3,467.37	$3,467.37	$21,379.62
United Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $2,818.38 / $4,168.69	Facility		$2,818.38	$2,818.38	$4,168.69
United Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $2,089.30 / $5,754.40	Professional		$1,479.11	$2,089.30	$5,754.40