Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $5,495.41 / $14,454.40	Facility		$3,388.44	$5,495.41	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $3,388.44 / $6,918.31	Professional		$2,511.89	$3,388.44	$6,918.31
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 $2,691.53 / $5,128.61 / $14,791.08	Professional		$2,691.53	$5,128.61	$14,791.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,918.31 / $7,943.28 / $12,882.50	Facility		$6,918.31	$7,943.28	$12,882.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,265.80 / $8,511.38 / $9,549.93	Professional		$4,265.80	$8,511.38	$9,549.93
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $7,244.36 / $13,489.63	Facility		$2,951.21	$7,244.36	$13,489.63
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $5,754.40 / $7,079.46 / $8,317.64	Professional		$5,754.40	$7,079.46	$8,317.64
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $4,073.80 / $9,549.93	Facility		$2,454.71	$4,073.80	$9,549.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,235.94 / $5,623.41 / $22,387.21	Professional		$3,235.94	$5,623.41	$22,387.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $3,801.89	Professional		$32.36	$33.11	$3,801.89
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,786.30 / $6,760.83 / $11,481.54	Professional		$4,786.30	$6,760.83	$11,481.54
Quartz Facility/Professional Facility Modifier Low / Median / High Price $6,918.31 / $66,069.34 / $66,069.34	Facility		$6,918.31	$66,069.34	$66,069.34
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,677.35 / $13,489.63 / $22,908.68	Professional		$4,677.35	$13,489.63	$22,908.68
Security Health Facility/Professional Professional Modifier Low / Median / High Price $14,125.38 / $14,125.38 / $14,125.38	Professional		$14,125.38	$14,125.38	$14,125.38
Security Health Facility/Professional Professional Modifier Low / Median / High Price $12,022.64 / $18,620.87 / $19,054.61	Professional		$12,022.64	$18,620.87	$19,054.61
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 $3,235.94 / $5,495.41 / $12,302.69	Professional		$3,235.94	$5,495.41	$12,302.69