Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $4,168.69 / $14,454.40	Facility		$2,570.40	$4,168.69	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,570.40 / $5,248.07	Professional		$1,905.46	$2,570.40	$5,248.07
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 $2,041.74 / $3,890.45 / $11,220.18	Professional		$2,041.74	$3,890.45	$11,220.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,248.07 / $6,025.60 / $9,772.37	Facility		$5,248.07	$6,025.60	$9,772.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,235.94 / $6,456.54 / $7,244.36	Professional		$3,235.94	$6,456.54	$7,244.36
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $7,244.36 / $13,489.63	Facility		$2,238.72	$7,244.36	$13,489.63
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $4,365.16 / $5,370.32 / $6,309.57	Professional		$4,365.16	$5,370.32	$6,309.57
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $3,801.89 / $9,549.93	Facility		$2,041.74	$3,801.89	$9,549.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $4,265.80 / $18,620.87	Professional		$2,398.83	$4,265.80	$18,620.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $2,818.38	Professional		$32.36	$33.11	$2,818.38
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,630.78 / $5,128.61 / $8,709.64	Professional		$3,630.78	$5,128.61	$8,709.64
Quartz Facility/Professional Facility Modifier Low / Median / High Price $5,248.07 / $50,118.72 / $50,118.72	Facility		$5,248.07	$50,118.72	$50,118.72
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,548.13 / $10,232.93 / $19,054.61	Professional		$3,548.13	$10,232.93	$19,054.61
Security Health Facility/Professional Professional Modifier Low / Median / High Price $10,715.19 / $10,715.19 / $10,715.19	Professional		$10,715.19	$10,715.19	$10,715.19
Security Health Facility/Professional Professional Modifier Low / Median / High Price $9,120.11 / $14,125.38 / $14,125.38	Professional		$9,120.11	$14,125.38	$14,125.38
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 $2,290.87 / $4,168.69 / $9,332.54	Professional		$2,290.87	$4,168.69	$9,332.54