Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $2,570.40 / $14,454.40	Facility		$1,621.81	$2,570.40	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,621.81 / $3,235.94	Professional		$1,318.26	$1,621.81	$3,235.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,882.50 / $18,197.01 / $29,512.09	Facility		$12,882.50	$18,197.01	$29,512.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $2,454.71 / $7,413.10	Professional		$1,479.11	$2,454.71	$7,413.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $3,801.89 / $6,025.60	Facility		$3,235.94	$3,801.89	$6,025.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $3,981.07 / $4,570.88	Professional		$2,187.76	$3,981.07	$4,570.88
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $7,413.10 / $14,454.40	Facility		$1,479.11	$7,413.10	$14,454.40
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $3,311.31 / $3,890.45	Professional		$2,691.53	$3,311.31	$3,890.45
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $3,388.44 / $9,549.93	Facility		$1,445.44	$3,388.44	$9,549.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $3,090.30 / $7,585.78	Professional		$1,659.59	$3,090.30	$7,585.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $2,089.30	Professional		$32.36	$33.11	$2,089.30
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $3,235.94 / $5,370.32	Professional		$2,290.87	$3,235.94	$5,370.32
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $3,235.94 / $23,988.33	Facility		$3,235.94	$3,235.94	$23,988.33
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $6,309.57 / $9,332.54	Professional		$2,187.76	$6,309.57	$9,332.54
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,606.93 / $6,606.93 / $6,606.93	Professional		$6,606.93	$6,606.93	$6,606.93
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7,943.28 / $8,709.64 / $9,332.54	Professional		$7,943.28	$8,709.64	$9,332.54
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 $1,584.89 / $3,090.30 / $5,888.44	Professional		$1,584.89	$3,090.30	$5,888.44