Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $2,630.27 / $14,454.40	Facility		$1,230.27	$2,630.27	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,288.25 / $3,235.94	Professional		$1,174.90	$1,288.25	$3,235.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,022.64 / $16,982.44 / $29,512.09	Facility		$12,022.64	$16,982.44	$29,512.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $2,570.40 / $6,606.93	Professional		$1,258.93	$2,570.40	$6,606.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $3,801.89 / $6,165.95	Facility		$3,311.31	$3,801.89	$6,165.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $5,128.61 / $5,888.44	Professional		$1,621.81	$5,128.61	$5,888.44
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $2,511.89 / $9,772.37	Facility		$1,230.27	$2,511.89	$9,772.37
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $3,019.95 / $3,890.45	Professional		$2,238.72	$3,019.95	$3,890.45
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $2,630.27 / $15,135.61	Facility		$1,258.93	$2,630.27	$15,135.61
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $2,238.72 / $9,549.93	Professional		$1,258.93	$2,238.72	$9,549.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $70.79	Professional		$32.36	$33.11	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,818.38 / $4,265.80	Professional		$1,862.09	$2,818.38	$4,265.80
Quartz Facility/Professional Facility Modifier Low / Median / High Price $25,703.96 / $38,018.94 / $38,018.94	Facility		$25,703.96	$38,018.94	$38,018.94
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $6,165.95 / $9,332.54	Professional		$2,238.72	$6,165.95	$9,332.54
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,073.80 / $4,073.80 / $4,073.80	Professional		$4,073.80	$4,073.80	$4,073.80
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $7,079.46 / $8,128.31	Professional		$2,951.21	$7,079.46	$8,128.31
United Facility/Professional Facility Modifier Low / Median / High Price $8,912.51 / $13,803.84 / $17,782.79	Facility		$8,912.51	$13,803.84	$17,782.79
United Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,862.09 / $5,248.07	Professional		$1,230.27	$1,862.09	$5,248.07