Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $3,467.37 / $14,454.40	Facility		$2,041.74	$3,467.37	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,041.74 / $4,265.80	Professional		$1,548.82	$2,041.74	$4,265.80
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 $1,659.59 / $3,235.94 / $8,317.64	Professional		$1,659.59	$3,235.94	$8,317.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $5,011.87 / $8,128.31	Facility		$4,265.80	$5,011.87	$8,128.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $5,248.07 / $6,025.60	Professional		$2,691.53	$5,248.07	$6,025.60
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $7,244.36 / $14,454.40	Facility		$1,949.84	$7,244.36	$14,454.40
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $4,168.69 / $5,128.61	Professional		$3,019.95	$4,168.69	$5,128.61
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $3,388.44 / $9,549.93	Facility		$1,819.70	$3,388.44	$9,549.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $3,090.30 / $9,772.37	Professional		$1,819.70	$3,090.30	$9,772.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,479.11	Professional		$32.36	$33.11	$1,479.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $4,265.80 / $6,760.83	Professional		$2,187.76	$4,265.80	$6,760.83
Quartz Facility/Professional Facility Modifier Low / Median / High Price $4,365.16 / $4,365.16 / $31,622.78	Facility		$4,365.16	$4,365.16	$31,622.78
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $8,317.64 / $15,135.61	Professional		$2,884.03	$8,317.64	$15,135.61
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 $3,981.07 / $9,332.54 / $10,000.00	Professional		$3,981.07	$9,332.54	$10,000.00
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 $1,698.24 / $2,818.38 / $7,244.36	Professional		$1,698.24	$2,818.38	$7,244.36