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 $1,513.56 / $2,089.30 / $4,168.69	Professional		$1,513.56	$2,089.30	$4,168.69
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 $1,621.81 / $3,162.28 / $9,120.11	Professional		$1,621.81	$3,162.28	$9,120.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,168.69 / $4,897.79 / $7,762.47	Facility		$4,168.69	$4,897.79	$7,762.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $5,128.61 / $6,606.93	Professional		$2,630.27	$5,128.61	$6,606.93
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $7,244.36 / $13,489.63	Facility		$1,905.46	$7,244.36	$13,489.63
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $3,467.37 / $4,265.80 / $5,011.87	Professional		$3,467.37	$4,265.80	$5,011.87
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $3,548.13 / $9,549.93	Facility		$1,778.28	$3,548.13	$9,549.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $3,548.13 / $15,135.61	Professional		$2,041.74	$3,548.13	$15,135.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $2,344.23	Professional		$32.36	$33.11	$2,344.23
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $4,168.69 / $7,079.46	Professional		$2,951.21	$4,168.69	$7,079.46
Quartz Facility/Professional Facility Modifier Low / Median / High Price $4,168.69 / $50,118.72 / $50,118.72	Facility		$4,168.69	$50,118.72	$50,118.72
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $8,128.31 / $18,620.87	Professional		$2,818.38	$8,128.31	$18,620.87
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8,511.38 / $8,511.38 / $8,511.38	Professional		$8,511.38	$8,511.38	$8,511.38
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7,413.10 / $11,220.18 / $11,481.54	Professional		$7,413.10	$11,220.18	$11,481.54
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 / $3,311.31 / $7,413.10	Professional		$1,995.26	$3,311.31	$7,413.10