Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $891.25 / $17,782.79	Facility		$891.25	$891.25	$17,782.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,348.96 / $1,548.82	Professional		$912.01	$1,348.96	$1,548.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,585.78 / $17,378.01 / $30,902.95	Facility		$7,585.78	$17,378.01	$30,902.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $2,089.30 / $5,495.41	Professional		$1,412.54	$2,089.30	$5,495.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $4,677.35 / $7,585.78	Facility		$4,073.80	$4,677.35	$7,585.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,630.27 / $2,951.21	Professional		$1,698.24	$2,630.27	$2,951.21
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,513.56 / $2,691.53	Facility		$1,047.13	$1,513.56	$2,691.53
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $3,235.94 / $3,235.94 / $3,235.94	Professional		$3,235.94	$3,235.94	$3,235.94
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $11,220.18 / $26,915.35	Facility		$1,348.96	$11,220.18	$26,915.35
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,884.03 / $10,715.19	Professional		$1,513.56	$2,884.03	$10,715.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $54.95 / $70.79	Professional		$32.36	$54.95	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $3,388.44 / $4,786.30	Professional		$1,621.81	$3,388.44	$4,786.30
Quartz Facility/Professional Facility Modifier Low / Median / High Price $43,651.58 / $102,329.30 / $102,329.30	Facility		$43,651.58	$102,329.30	$102,329.30
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5,623.41 / $10,232.93 / $10,232.93	Professional		$5,623.41	$10,232.93	$10,232.93
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7,413.10 / $7,413.10 / $7,413.10	Professional		$7,413.10	$7,413.10	$7,413.10
Security Health Facility/Professional Facility Modifier Low / Median / High Price $36,307.81 / $36,307.81 / $36,307.81	Facility		$36,307.81	$36,307.81	$36,307.81
Security Health Facility/Professional Professional Modifier Low / Median / High Price $11,220.18 / $15,848.93 / $15,848.93	Professional		$11,220.18	$15,848.93	$15,848.93
United Facility/Professional Facility Modifier Low / Median / High Price $10,964.78 / $20,892.96 / $27,542.29	Facility		$10,964.78	$20,892.96	$27,542.29
United Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $2,290.87 / $6,309.57	Professional		$1,412.54	$2,290.87	$6,309.57