Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $2,570.40 / $14,454.40	Facility		$1,584.89	$2,570.40	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,584.89 / $3,235.94	Professional		$1,174.90	$1,584.89	$3,235.94
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 $1,230.27 / $2,398.83 / $6,918.31	Professional		$1,230.27	$2,398.83	$6,918.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $3,801.89 / $6,025.60	Facility		$3,235.94	$3,801.89	$6,025.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $3,981.07 / $5,128.61	Professional		$2,041.74	$3,981.07	$5,128.61
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $7,244.36 / $13,489.63	Facility		$1,479.11	$7,244.36	$13,489.63
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $3,311.31 / $3,890.45	Professional		$2,691.53	$3,311.31	$3,890.45
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $3,162.28 / $7,943.28	Facility		$1,380.38	$3,162.28	$7,943.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,754.23 / $11,481.54	Professional		$1,513.56	$2,754.23	$11,481.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,778.28	Professional		$32.36	$33.11	$1,778.28
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $3,235.94 / $5,370.32	Professional		$2,290.87	$3,235.94	$5,370.32
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $38,904.51 / $38,904.51	Facility		$3,235.94	$38,904.51	$38,904.51
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $6,165.95 / $18,197.01	Professional		$2,187.76	$6,165.95	$18,197.01
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,456.54 / $6,456.54 / $6,456.54	Professional		$6,456.54	$6,456.54	$6,456.54
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,888.44 / $8,709.64 / $8,709.64	Professional		$5,888.44	$8,709.64	$8,709.64
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 $1,513.56 / $2,570.40 / $5,623.41	Professional		$1,513.56	$2,570.40	$5,623.41