Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $3,715.35 / $14,454.40	Facility		$2,344.23	$3,715.35	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,344.23 / $4,677.35	Professional		$1,737.80	$2,344.23	$4,677.35
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 $1,862.09 / $3,548.13 / $10,232.93	Professional		$1,862.09	$3,548.13	$10,232.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,677.35 / $5,495.41 / $8,709.64	Facility		$4,677.35	$5,495.41	$8,709.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $5,754.40 / $7,413.10	Professional		$2,951.21	$5,754.40	$7,413.10
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $7,244.36 / $13,489.63	Facility		$2,137.96	$7,244.36	$13,489.63
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $3,890.45 / $4,786.30 / $5,623.41	Professional		$3,890.45	$4,786.30	$5,623.41
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $3,630.78 / $9,549.93	Facility		$1,995.26	$3,630.78	$9,549.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $3,890.45 / $16,982.44	Professional		$2,290.87	$3,890.45	$16,982.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $2,630.27	Professional		$32.36	$33.11	$2,630.27
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,235.94 / $4,677.35 / $7,762.47	Professional		$3,235.94	$4,677.35	$7,762.47
Quartz Facility/Professional Facility Modifier Low / Median / High Price $4,677.35 / $56,234.13 / $56,234.13	Facility		$4,677.35	$56,234.13	$56,234.13
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $9,120.11 / $22,908.68	Professional		$3,162.28	$9,120.11	$22,908.68
Security Health Facility/Professional Professional Modifier Low / Median / High Price $9,549.93 / $9,549.93 / $9,549.93	Professional		$9,549.93	$9,549.93	$9,549.93
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8,709.64 / $12,589.25 / $12,882.50	Professional		$8,709.64	$12,589.25	$12,882.50
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 $2,238.72 / $3,715.35 / $8,317.64	Professional		$2,238.72	$3,715.35	$8,317.64