Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $3,890.45 / $14,454.40	Facility		$2,398.83	$3,890.45	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,398.83 / $4,897.79	Professional		$1,778.28	$2,398.83	$4,897.79
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 $1,905.46 / $3,630.78 / $10,471.29	Professional		$1,905.46	$3,630.78	$10,471.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $5,623.41 / $9,120.11	Facility		$4,897.79	$5,623.41	$9,120.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $6,025.60 / $6,760.83	Professional		$3,019.95	$6,025.60	$6,760.83
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $7,244.36 / $13,489.63	Facility		$2,089.30	$7,244.36	$13,489.63
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $4,073.80 / $5,011.87 / $5,888.44	Professional		$4,073.80	$5,011.87	$5,888.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $3,715.35 / $9,549.93	Facility		$2,089.30	$3,715.35	$9,549.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $3,981.07 / $16,982.44	Professional		$2,290.87	$3,981.07	$16,982.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $2,754.23	Professional		$32.36	$33.11	$2,754.23
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,388.44 / $4,897.79 / $8,128.31	Professional		$3,388.44	$4,897.79	$8,128.31
Quartz Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $46,773.51 / $46,773.51	Facility		$4,897.79	$46,773.51	$46,773.51
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,311.31 / $9,549.93 / $16,982.44	Professional		$3,311.31	$9,549.93	$16,982.44
Security Health Facility/Professional Professional Modifier Low / Median / High Price $9,772.37 / $9,772.37 / $9,772.37	Professional		$9,772.37	$9,772.37	$9,772.37
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8,912.51 / $13,182.57 / $13,182.57	Professional		$8,912.51	$13,182.57	$13,182.57
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 $2,238.72 / $3,890.45 / $8,709.64	Professional		$2,238.72	$3,890.45	$8,709.64