Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $3,019.95 / $14,454.40	Facility		$1,862.09	$3,019.95	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,862.09 / $3,801.89	Professional		$1,380.38	$1,862.09	$3,801.89
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 / $2,818.38 / $8,128.31	Professional		$1,479.11	$2,818.38	$8,128.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $4,466.84 / $7,079.46	Facility		$3,801.89	$4,466.84	$7,079.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $4,677.35 / $6,025.60	Professional		$2,398.83	$4,677.35	$6,025.60
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $7,244.36 / $13,489.63	Facility		$1,737.80	$7,244.36	$13,489.63
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $3,890.45 / $4,570.88	Professional		$3,162.28	$3,890.45	$4,570.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $3,388.44 / $9,549.93	Facility		$1,698.24	$3,388.44	$9,549.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $3,235.94 / $13,489.63	Professional		$1,819.70	$3,235.94	$13,489.63
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 $2,691.53 / $3,801.89 / $6,309.57	Professional		$2,691.53	$3,801.89	$6,309.57
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $36,307.81 / $36,307.81	Facility		$3,801.89	$36,307.81	$36,307.81
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $7,413.10 / $21,877.62	Professional		$2,570.40	$7,413.10	$21,877.62
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7,762.47 / $7,762.47 / $7,762.47	Professional		$7,762.47	$7,762.47	$7,762.47
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,760.83 / $10,232.93 / $10,232.93	Professional		$6,760.83	$10,232.93	$10,232.93
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 $1,778.28 / $3,019.95 / $6,760.83	Professional		$1,778.28	$3,019.95	$6,760.83