Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $2,398.83 / $14,454.40	Facility		$1,479.11	$2,398.83	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,479.11 / $3,019.95	Professional		$1,071.52	$1,479.11	$3,019.95
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 $1,148.15 / $2,238.72 / $6,456.54	Professional		$1,148.15	$2,238.72	$6,456.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $3,467.37 / $5,623.41	Facility		$3,019.95	$3,467.37	$5,623.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $3,715.35 / $4,677.35	Professional		$1,862.09	$3,715.35	$4,677.35
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $7,244.36 / $13,489.63	Facility		$1,380.38	$7,244.36	$13,489.63
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $3,090.30 / $3,630.78	Professional		$2,511.89	$3,090.30	$3,630.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $3,162.28 / $9,549.93	Facility		$1,348.96	$3,162.28	$9,549.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $2,570.40 / $10,715.19	Professional		$1,380.38	$2,570.40	$10,715.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,659.59	Professional		$32.36	$33.11	$1,659.59
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $3,019.95 / $5,011.87	Professional		$2,137.96	$3,019.95	$5,011.87
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $35,481.34 / $35,481.34	Facility		$3,019.95	$35,481.34	$35,481.34
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $5,754.40 / $13,489.63	Professional		$2,041.74	$5,754.40	$13,489.63
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,025.60 / $6,025.60 / $6,025.60	Professional		$6,025.60	$6,025.60	$6,025.60
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,623.41 / $8,128.31 / $8,128.31	Professional		$5,623.41	$8,128.31	$8,128.31
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 $1,380.38 / $2,398.83 / $5,248.07	Professional		$1,380.38	$2,398.83	$5,248.07