Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $3,311.31 / $14,454.40	Facility		$2,041.74	$3,311.31	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,041.74 / $6,309.57	Professional		$1,513.56	$2,041.74	$6,309.57
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 $1,621.81 / $3,090.30 / $8,912.51	Professional		$1,621.81	$3,090.30	$8,912.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $4,786.30 / $7,585.78	Facility		$4,073.80	$4,786.30	$7,585.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $5,011.87 / $5,754.40	Professional		$2,570.40	$5,011.87	$5,754.40
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $7,413.10 / $14,454.40	Facility		$1,862.09	$7,413.10	$14,454.40
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $3,388.44 / $4,265.80 / $4,897.79	Professional		$3,388.44	$4,265.80	$4,897.79
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $3,388.44 / $9,549.93	Facility		$1,737.80	$3,388.44	$9,549.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $3,311.31 / $9,120.11	Professional		$1,995.26	$3,311.31	$9,120.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $2,290.87	Professional		$32.36	$33.11	$2,290.87
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $4,073.80 / $6,918.31	Professional		$2,884.03	$4,073.80	$6,918.31
Quartz Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $4,073.80 / $39,810.72	Facility		$4,073.80	$4,073.80	$39,810.72
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $7,943.28 / $15,135.61	Professional		$2,754.23	$7,943.28	$15,135.61
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8,317.64 / $8,317.64 / $8,317.64	Professional		$8,317.64	$8,317.64	$8,317.64
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7,585.78 / $11,220.18 / $11,220.18	Professional		$7,585.78	$11,220.18	$11,220.18
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 $1,949.84 / $3,235.94 / $7,244.36	Professional		$1,949.84	$3,235.94	$7,244.36