Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $3,890.45 / $14,454.40	Facility		$2,290.87	$3,890.45	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,290.87 / $4,897.79	Professional		$1,778.28	$2,290.87	$4,897.79
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 $1,905.46 / $3,715.35 / $9,549.93	Professional		$1,905.46	$3,715.35	$9,549.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $5,754.40 / $9,120.11	Facility		$4,897.79	$5,754.40	$9,120.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,090.30 / $6,025.60 / $6,760.83	Professional		$3,090.30	$6,025.60	$6,760.83
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $7,244.36 / $14,454.40	Facility		$2,238.72	$7,244.36	$14,454.40
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $3,388.44 / $4,677.35 / $5,888.44	Professional		$3,388.44	$4,677.35	$5,888.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $3,548.13 / $9,549.93	Facility		$2,089.30	$3,548.13	$9,549.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $3,548.13 / $10,964.78	Professional		$2,041.74	$3,548.13	$10,964.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $2,691.53	Professional		$32.36	$33.11	$2,691.53
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $4,897.79 / $7,762.47	Professional		$2,511.89	$4,897.79	$7,762.47
Quartz Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $4,897.79 / $36,307.81	Facility		$4,897.79	$4,897.79	$36,307.81
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,311.31 / $9,549.93 / $17,782.79	Professional		$3,311.31	$9,549.93	$17,782.79
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,677.35 / $4,677.35 / $4,677.35	Professional		$4,677.35	$4,677.35	$4,677.35
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $10,715.19 / $11,481.54	Professional		$2,290.87	$10,715.19	$11,481.54
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 $1,905.46 / $3,162.28 / $8,317.64	Professional		$1,905.46	$3,162.28	$8,317.64