Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $3,388.44 / $14,454.40	Facility		$2,089.30	$3,388.44	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,089.30 / $4,265.80	Professional		$1,548.82	$2,089.30	$4,265.80
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 $1,659.59 / $3,235.94 / $9,120.11	Professional		$1,659.59	$3,235.94	$9,120.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $5,011.87 / $7,943.28	Facility		$4,265.80	$5,011.87	$7,943.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $5,248.07 / $6,760.83	Professional		$2,691.53	$5,248.07	$6,760.83
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $7,244.36 / $13,489.63	Facility		$1,949.84	$7,244.36	$13,489.63
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $3,548.13 / $4,365.16 / $5,128.61	Professional		$3,548.13	$4,365.16	$5,128.61
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $3,388.44 / $9,549.93	Facility		$1,819.70	$3,388.44	$9,549.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $3,630.78 / $15,135.61	Professional		$2,041.74	$3,630.78	$15,135.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $2,454.71	Professional		$32.36	$33.11	$2,454.71
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $4,265.80 / $7,079.46	Professional		$3,019.95	$4,265.80	$7,079.46
Quartz Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $51,286.14 / $51,286.14	Facility		$4,265.80	$51,286.14	$51,286.14
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $8,317.64 / $15,848.93	Professional		$2,884.03	$8,317.64	$15,848.93
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8,709.64 / $8,709.64 / $8,709.64	Professional		$8,709.64	$8,709.64	$8,709.64
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7,762.47 / $11,481.54 / $11,748.98	Professional		$7,762.47	$11,481.54	$11,748.98
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 $1,995.26 / $3,388.44 / $7,585.78	Professional		$1,995.26	$3,388.44	$7,585.78