Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $2,511.89 / $14,454.40	Facility		$1,548.82	$2,511.89	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,548.82 / $3,162.28	Professional		$1,122.02	$1,548.82	$3,162.28
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 $1,202.26 / $2,344.23 / $6,760.83	Professional		$1,202.26	$2,344.23	$6,760.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $3,715.35 / $5,888.44	Facility		$3,162.28	$3,715.35	$5,888.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $3,890.45 / $4,570.88	Professional		$1,949.84	$3,890.45	$4,570.88
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $7,244.36 / $13,489.63	Facility		$1,412.54	$7,244.36	$13,489.63
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $3,235.94 / $3,801.89	Professional		$2,630.27	$3,235.94	$3,801.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $2,818.38 / $9,549.93	Facility		$1,412.54	$2,818.38	$9,549.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $2,630.27 / $11,220.18	Professional		$1,445.44	$2,630.27	$11,220.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,698.24	Professional		$32.36	$33.11	$1,698.24
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $3,162.28 / $5,248.07	Professional		$2,238.72	$3,162.28	$5,248.07
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $22,908.68 / $22,908.68	Facility		$3,162.28	$22,908.68	$22,908.68
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $6,025.60 / $12,882.50	Professional		$2,137.96	$6,025.60	$12,882.50
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,309.57 / $6,309.57 / $6,309.57	Professional		$6,309.57	$6,309.57	$6,309.57
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,623.41 / $8,511.38 / $8,511.38	Professional		$5,623.41	$8,511.38	$8,511.38
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 $1,412.54 / $2,454.71 / $5,495.41	Professional		$1,412.54	$2,454.71	$5,495.41