Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $3,548.13 / $14,454.40	Facility		$2,187.76	$3,548.13	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $2,187.76 / $4,365.16	Professional		$1,584.89	$2,187.76	$4,365.16
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 $1,698.24 / $3,311.31 / $9,549.93	Professional		$1,698.24	$3,311.31	$9,549.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,365.16 / $5,128.61 / $8,128.31	Facility		$4,365.16	$5,128.61	$8,128.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $5,370.32 / $6,918.31	Professional		$2,754.23	$5,370.32	$6,918.31
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $7,244.36 / $13,489.63	Facility		$1,995.26	$7,244.36	$13,489.63
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $3,630.78 / $4,570.88 / $5,248.07	Professional		$3,630.78	$4,570.88	$5,248.07
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $3,548.13 / $9,549.93	Facility		$1,862.09	$3,548.13	$9,549.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $3,715.35 / $15,848.93	Professional		$2,137.96	$3,715.35	$15,848.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $2,454.71	Professional		$32.36	$33.11	$2,454.71
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,090.30 / $4,365.16 / $7,413.10	Professional		$3,090.30	$4,365.16	$7,413.10
Quartz Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $52,480.75 / $52,480.75	Facility		$4,466.84	$52,480.75	$52,480.75
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $8,511.38 / $22,387.21	Professional		$2,951.21	$8,511.38	$22,387.21
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8,912.51 / $8,912.51 / $8,912.51	Professional		$8,912.51	$8,912.51	$8,912.51
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7,943.28 / $12,022.64 / $12,022.64	Professional		$7,943.28	$12,022.64	$12,022.64
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 $2,041.74 / $3,467.37 / $7,762.47	Professional		$2,041.74	$3,467.37	$7,762.47