Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $2,818.38 / $14,454.40	Facility		$1,737.80	$2,818.38	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,737.80 / $3,548.13	Professional		$1,288.25	$1,737.80	$3,548.13
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 $1,380.38 / $2,630.27 / $7,585.78	Professional		$1,380.38	$2,630.27	$7,585.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $4,168.69 / $6,606.93	Facility		$3,548.13	$4,168.69	$6,606.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $4,365.16 / $5,623.41	Professional		$2,238.72	$4,365.16	$5,623.41
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $7,244.36 / $13,489.63	Facility		$1,621.81	$7,244.36	$13,489.63
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $3,630.78 / $4,265.80	Professional		$2,951.21	$3,630.78	$4,265.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $3,388.44 / $9,549.93	Facility		$1,584.89	$3,388.44	$9,549.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $3,019.95 / $12,589.25	Professional		$1,659.59	$3,019.95	$12,589.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,949.84	Professional		$32.36	$33.11	$1,949.84
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $3,548.13 / $5,888.44	Professional		$2,511.89	$3,548.13	$5,888.44
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $30,902.95 / $30,902.95	Facility		$3,548.13	$30,902.95	$30,902.95
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $6,760.83 / $18,620.87	Professional		$2,398.83	$6,760.83	$18,620.87
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7,244.36 / $7,244.36 / $7,244.36	Professional		$7,244.36	$7,244.36	$7,244.36
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,456.54 / $9,549.93 / $9,549.93	Professional		$6,456.54	$9,549.93	$9,549.93
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 $1,659.59 / $2,818.38 / $6,309.57	Professional		$1,659.59	$2,818.38	$6,309.57