Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $3,548.13 / $14,454.40	Facility		$2,238.72	$3,548.13	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,238.72 / $4,466.84	Professional		$1,659.59	$2,238.72	$4,466.84
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 $1,778.28 / $3,388.44 / $9,772.37	Professional		$1,778.28	$3,388.44	$9,772.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $5,248.07 / $8,317.64	Facility		$4,466.84	$5,248.07	$8,317.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $5,495.41 / $6,456.54	Professional		$2,818.38	$5,495.41	$6,456.54
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $7,244.36 / $13,489.63	Facility		$2,041.74	$7,244.36	$13,489.63
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $3,715.35 / $4,570.88 / $5,370.32	Professional		$3,715.35	$4,570.88	$5,370.32
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $3,548.13 / $9,549.93	Facility		$1,905.46	$3,548.13	$9,549.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $3,801.89 / $16,218.10	Professional		$2,137.96	$3,801.89	$16,218.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $2,511.89	Professional		$32.36	$33.11	$2,511.89
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $4,466.84 / $7,413.10	Professional		$3,162.28	$4,466.84	$7,413.10
Quartz Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $53,703.18 / $53,703.18	Facility		$4,466.84	$53,703.18	$53,703.18
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $8,709.64 / $19,498.45	Professional		$3,019.95	$8,709.64	$19,498.45
Security Health Facility/Professional Professional Modifier Low / Median / High Price $9,120.11 / $9,120.11 / $9,120.11	Professional		$9,120.11	$9,120.11	$9,120.11
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8,511.38 / $12,022.64 / $12,302.69	Professional		$8,511.38	$12,022.64	$12,302.69
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 $2,089.30 / $3,548.13 / $7,943.28	Professional		$2,089.30	$3,548.13	$7,943.28