Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $2,754.23 / $14,454.40	Facility		$1,318.26	$2,754.23	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,698.24 / $4,365.16	Professional		$1,258.93	$1,698.24	$4,365.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,022.64 / $16,982.44 / $28,840.32	Facility		$12,022.64	$16,982.44	$28,840.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $2,754.23 / $7,079.46	Professional		$1,318.26	$2,754.23	$7,079.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $4,073.80 / $6,918.31	Facility		$3,548.13	$4,073.80	$6,918.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $5,495.41 / $6,309.57	Professional		$1,737.80	$5,495.41	$6,309.57
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $2,754.23 / $5,754.40	Facility		$1,348.96	$2,754.23	$5,754.40
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $3,235.94 / $4,168.69	Professional		$2,398.83	$3,235.94	$4,168.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $2,951.21 / $16,595.87	Facility		$1,348.96	$2,951.21	$16,595.87
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $2,398.83 / $10,000.00	Professional		$1,412.54	$2,398.83	$10,000.00
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 $1,995.26 / $3,019.95 / $4,570.88	Professional		$1,995.26	$3,019.95	$4,570.88
Quartz Facility/Professional Facility Modifier Low / Median / High Price $22,387.21 / $42,657.95 / $63,095.73	Facility		$22,387.21	$42,657.95	$63,095.73
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $6,456.54 / $10,000.00	Professional		$2,398.83	$6,456.54	$10,000.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,365.16 / $4,365.16 / $4,365.16	Professional		$4,365.16	$4,365.16	$4,365.16
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,801.89 / $7,413.10 / $8,511.38	Professional		$3,801.89	$7,413.10	$8,511.38
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 $1,380.38 / $2,041.74 / $5,495.41	Professional		$1,380.38	$2,041.74	$5,495.41