Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $2,818.38 / $14,454.40	Facility		$1,659.59	$2,818.38	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,659.59 / $3,548.13	Professional		$1,288.25	$1,659.59	$3,548.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,882.50 / $18,197.01 / $28,840.32	Facility		$12,882.50	$18,197.01	$28,840.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $2,691.53 / $6,760.83	Professional		$1,380.38	$2,691.53	$6,760.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $4,168.69 / $6,606.93	Facility		$3,548.13	$4,168.69	$6,606.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $4,365.16 / $4,897.79	Professional		$2,238.72	$4,365.16	$4,897.79
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $7,244.36 / $13,489.63	Facility		$1,659.59	$7,244.36	$13,489.63
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $3,467.37 / $4,265.80	Professional		$2,454.71	$3,467.37	$4,265.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $3,019.95 / $7,943.28	Facility		$1,584.89	$3,019.95	$7,943.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $2,511.89 / $10,715.19	Professional		$1,479.11	$2,511.89	$10,715.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,949.84	Professional		$32.36	$33.11	$1,949.84
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $3,548.13 / $5,495.41	Professional		$1,819.70	$3,548.13	$5,495.41
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $26,302.68 / $26,302.68	Facility		$3,548.13	$26,302.68	$26,302.68
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $6,918.31 / $10,715.19	Professional		$2,398.83	$6,918.31	$10,715.19
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,388.44 / $3,388.44 / $3,388.44	Professional		$3,388.44	$3,388.44	$3,388.44
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,235.94 / $7,762.47 / $8,317.64	Professional		$3,235.94	$7,762.47	$8,317.64
United Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $6,165.95 / $19,498.45	Facility		$2,290.87	$6,165.95	$19,498.45
United Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $2,290.87 / $6,025.60	Professional		$1,380.38	$2,290.87	$6,025.60