Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $3,467.37 / $14,454.40	Facility		$2,137.96	$3,467.37	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $2,137.96 / $6,309.57	Professional		$1,584.89	$2,137.96	$6,309.57
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 $1,698.24 / $3,235.94 / $9,332.54	Professional		$1,698.24	$3,235.94	$9,332.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,365.16 / $5,011.87 / $8,128.31	Facility		$4,365.16	$5,011.87	$8,128.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $5,370.32 / $6,456.54	Professional		$2,691.53	$5,370.32	$6,456.54
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $7,244.36 / $13,489.63	Facility		$1,995.26	$7,244.36	$13,489.63
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $3,630.78 / $4,466.84 / $5,248.07	Professional		$3,630.78	$4,466.84	$5,248.07
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $3,548.13 / $9,549.93	Facility		$1,862.09	$3,548.13	$9,549.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $3,715.35 / $15,488.17	Professional		$2,041.74	$3,715.35	$15,488.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $2,398.83	Professional		$32.36	$33.11	$2,398.83
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $4,265.80 / $7,244.36	Professional		$3,019.95	$4,265.80	$7,244.36
Quartz Facility/Professional Facility Modifier Low / Median / High Price $4,365.16 / $52,480.75 / $52,480.75	Facility		$4,365.16	$52,480.75	$52,480.75
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $8,511.38 / $21,379.62	Professional		$2,951.21	$8,511.38	$21,379.62
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8,912.51 / $8,912.51 / $8,912.51	Professional		$8,912.51	$8,912.51	$8,912.51
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7,585.78 / $11,748.98 / $11,748.98	Professional		$7,585.78	$11,748.98	$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 $1,949.84 / $3,467.37 / $7,762.47	Professional		$1,949.84	$3,467.37	$7,762.47