Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $3,235.94 / $14,454.40	Facility		$1,995.26	$3,235.94	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,995.26 / $3,981.07	Professional		$1,445.44	$1,995.26	$3,981.07
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 $1,548.82 / $3,019.95 / $8,709.64	Professional		$1,548.82	$3,019.95	$8,709.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $4,677.35 / $7,413.10	Facility		$3,981.07	$4,677.35	$7,413.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $4,897.79 / $6,309.57	Professional		$2,511.89	$4,897.79	$6,309.57
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $7,244.36 / $13,489.63	Facility		$1,819.70	$7,244.36	$13,489.63
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $3,311.31 / $4,168.69 / $4,786.30	Professional		$3,311.31	$4,168.69	$4,786.30
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 $1,862.09 / $3,388.44 / $14,125.38	Professional		$1,862.09	$3,388.44	$14,125.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $2,187.76	Professional		$32.36	$33.11	$2,187.76
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $3,981.07 / $6,760.83	Professional		$2,818.38	$3,981.07	$6,760.83
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $47,863.01 / $47,863.01	Facility		$3,981.07	$47,863.01	$47,863.01
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $7,762.47 / $19,498.45	Professional		$2,691.53	$7,762.47	$19,498.45
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8,128.31 / $8,128.31 / $8,128.31	Professional		$8,128.31	$8,128.31	$8,128.31
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7,079.46 / $10,964.78 / $10,964.78	Professional		$7,079.46	$10,964.78	$10,964.78
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 $1,862.09 / $3,162.28 / $7,079.46	Professional		$1,862.09	$3,162.28	$7,079.46