Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $3,715.35 / $14,454.40	Facility		$2,290.87	$3,715.35	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,290.87 / $4,677.35	Professional		$1,698.24	$2,290.87	$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 $1,819.70 / $3,467.37 / $10,232.93	Professional		$1,819.70	$3,467.37	$10,232.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,677.35 / $5,370.32 / $8,709.64	Facility		$4,677.35	$5,370.32	$8,709.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $5,754.40 / $6,918.31	Professional		$2,884.03	$5,754.40	$6,918.31
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 $2,238.72 / $3,981.07 / $16,595.87	Professional		$2,238.72	$3,981.07	$16,595.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $2,570.40	Professional		$32.36	$33.11	$2,570.40
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,235.94 / $4,570.88 / $7,762.47	Professional		$3,235.94	$4,570.88	$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 / $19,054.61	Professional		$3,162.28	$9,120.11	$19,054.61
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 $8,912.51 / $12,589.25 / $12,882.50	Professional		$8,912.51	$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 $2,187.76 / $3,801.89 / $8,317.64	Professional		$2,187.76	$3,801.89	$8,317.64