Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $3,090.30 / $14,454.40	Facility		$1,479.11	$3,090.30	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,548.82 / $3,467.37	Professional		$1,380.38	$1,548.82	$3,467.37
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,882.50 / $17,378.01 / $29,512.09	Facility		$12,882.50	$17,378.01	$29,512.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $3,090.30 / $7,943.28	Professional		$1,513.56	$3,090.30	$7,943.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $4,570.88 / $7,585.78	Facility		$3,890.45	$4,570.88	$7,585.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $6,165.95 / $6,918.31	Professional		$1,995.26	$6,165.95	$6,918.31
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $3,090.30 / $10,232.93	Facility		$1,513.56	$3,090.30	$10,232.93
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $3,630.78 / $4,677.35	Professional		$2,691.53	$3,630.78	$4,677.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $3,467.37 / $19,952.62	Facility		$1,548.82	$3,467.37	$19,952.62
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,691.53 / $11,220.18	Professional		$1,698.24	$2,691.53	$11,220.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $85.11	Professional		$32.36	$33.11	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $3,311.31 / $5,011.87	Professional		$2,187.76	$3,311.31	$5,011.87
Quartz Facility/Professional Facility Modifier Low / Median / High Price $18,620.87 / $34,673.69 / $51,286.14	Facility		$18,620.87	$34,673.69	$51,286.14
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $7,413.10 / $10,964.78	Professional		$2,691.53	$7,413.10	$10,964.78
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,897.79 / $4,897.79 / $4,897.79	Professional		$4,897.79	$4,897.79	$4,897.79
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,265.80 / $8,317.64 / $9,549.93	Professional		$4,265.80	$8,317.64	$9,549.93
United Facility/Professional Facility Modifier Low / Median / High Price $8,709.64 / $16,982.44 / $22,387.21	Facility		$8,709.64	$16,982.44	$22,387.21
United Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,398.83 / $6,165.95	Professional		$1,621.81	$2,398.83	$6,165.95