Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $2,691.53 / $14,454.40	Facility		$1,659.59	$2,691.53	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,659.59 / $3,388.44	Professional		$1,230.27	$1,659.59	$3,388.44
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 $1,288.25 / $2,511.89 / $7,244.36	Professional		$1,288.25	$2,511.89	$7,244.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $3,981.07 / $6,309.57	Facility		$3,388.44	$3,981.07	$6,309.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $4,168.69 / $5,248.07	Professional		$2,137.96	$4,168.69	$5,248.07
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $7,244.36 / $13,489.63	Facility		$1,548.82	$7,244.36	$13,489.63
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $3,467.37 / $4,073.80	Professional		$2,818.38	$3,467.37	$4,073.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $3,388.44 / $9,549.93	Facility		$1,513.56	$3,388.44	$9,549.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,884.03 / $12,022.64	Professional		$1,621.81	$2,884.03	$12,022.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,819.70	Professional		$32.36	$33.11	$1,819.70
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $3,388.44 / $5,623.41	Professional		$2,398.83	$3,388.44	$5,623.41
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $25,118.86 / $25,118.86	Facility		$3,388.44	$25,118.86	$25,118.86
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $6,456.54 / $16,982.44	Professional		$2,290.87	$6,456.54	$16,982.44
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,918.31 / $6,918.31 / $6,918.31	Professional		$6,918.31	$6,918.31	$6,918.31
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,165.95 / $9,120.11 / $9,120.11	Professional		$6,165.95	$9,120.11	$9,120.11
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 $1,584.89 / $2,691.53 / $6,025.60	Professional		$1,584.89	$2,691.53	$6,025.60