Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $2,454.71 / $14,454.40	Facility		$1,513.56	$2,454.71	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,513.56 / $3,090.30	Professional		$1,096.48	$1,513.56	$3,090.30
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 $1,202.26 / $2,290.87 / $6,606.93	Professional		$1,202.26	$2,290.87	$6,606.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $3,630.78 / $5,754.40	Facility		$3,090.30	$3,630.78	$5,754.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $3,801.89 / $4,897.79	Professional		$1,949.84	$3,801.89	$4,897.79
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 $2,570.40 / $3,162.28 / $3,715.35	Professional		$2,570.40	$3,162.28	$3,715.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $3,388.44 / $9,549.93	Facility		$1,380.38	$3,388.44	$9,549.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $2,630.27 / $10,964.78	Professional		$1,479.11	$2,630.27	$10,964.78
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 $2,187.76 / $3,090.30 / $5,128.61	Professional		$2,187.76	$3,090.30	$5,128.61
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $37,153.52 / $37,153.52	Facility		$3,090.30	$37,153.52	$37,153.52
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $5,888.44 / $19,952.62	Professional		$2,089.30	$5,888.44	$19,952.62
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,165.95 / $6,165.95 / $6,165.95	Professional		$6,165.95	$6,165.95	$6,165.95
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,754.40 / $8,317.64 / $8,317.64	Professional		$5,754.40	$8,317.64	$8,317.64
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 $1,445.44 / $2,511.89 / $5,370.32	Professional		$1,445.44	$2,511.89	$5,370.32