Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $5,128.61 / $14,454.40	Facility		$3,162.28	$5,128.61	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $3,162.28 / $6,456.54	Professional		$2,344.23	$3,162.28	$6,456.54
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 $2,511.89 / $4,897.79 / $14,125.38	Professional		$2,511.89	$4,897.79	$14,125.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,456.54 / $7,585.78 / $12,022.64	Facility		$6,456.54	$7,585.78	$12,022.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,073.80 / $7,943.28 / $8,912.51	Professional		$4,073.80	$7,943.28	$8,912.51
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $7,244.36 / $13,489.63	Facility		$2,884.03	$7,244.36	$13,489.63
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $5,370.32 / $6,606.93 / $7,762.47	Professional		$5,370.32	$6,606.93	$7,762.47
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $4,073.80 / $9,549.93	Facility		$2,454.71	$4,073.80	$9,549.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,090.30 / $5,370.32 / $23,442.29	Professional		$3,090.30	$5,370.32	$23,442.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $3,630.78	Professional		$32.36	$33.11	$3,630.78
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,570.88 / $6,456.54 / $10,715.19	Professional		$4,570.88	$6,456.54	$10,715.19
Quartz Facility/Professional Facility Modifier Low / Median / High Price $6,456.54 / $56,234.13 / $56,234.13	Facility		$6,456.54	$56,234.13	$56,234.13
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,365.16 / $12,589.25 / $25,703.96	Professional		$4,365.16	$12,589.25	$25,703.96
Security Health Facility/Professional Professional Modifier Low / Median / High Price $13,182.57 / $13,182.57 / $13,182.57	Professional		$13,182.57	$13,182.57	$13,182.57
Security Health Facility/Professional Professional Modifier Low / Median / High Price $12,022.64 / $17,378.01 / $17,782.79	Professional		$12,022.64	$17,378.01	$17,782.79
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 $3,019.95 / $5,128.61 / $11,481.54	Professional		$3,019.95	$5,128.61	$11,481.54