Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $5,248.07 / $14,454.40	Facility		$3,235.94	$5,248.07	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $3,235.94 / $6,456.54	Professional		$2,398.83	$3,235.94	$6,456.54
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 $2,570.40 / $4,897.79 / $14,125.38	Professional		$2,570.40	$4,897.79	$14,125.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,456.54 / $7,585.78 / $12,302.69	Facility		$6,456.54	$7,585.78	$12,302.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,073.80 / $8,128.31 / $9,120.11	Professional		$4,073.80	$8,128.31	$9,120.11
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $7,244.36 / $13,489.63	Facility		$2,951.21	$7,244.36	$13,489.63
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $5,370.32 / $6,760.83 / $7,762.47	Professional		$5,370.32	$6,760.83	$7,762.47
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $4,073.80 / $9,332.54	Facility		$2,454.71	$4,073.80	$9,332.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $5,370.32 / $19,498.45	Professional		$3,019.95	$5,370.32	$19,498.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $3,630.78	Professional		$32.36	$33.11	$3,630.78
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,570.88 / $6,456.54 / $10,964.78	Professional		$4,570.88	$6,456.54	$10,964.78
Quartz Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $47,863.01 / $47,863.01	Facility		$6,606.93	$47,863.01	$47,863.01
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,365.16 / $12,882.50 / $19,054.61	Professional		$4,365.16	$12,882.50	$19,054.61
Security Health Facility/Professional Professional Modifier Low / Median / High Price $13,182.57 / $13,182.57 / $13,182.57	Professional		$13,182.57	$13,182.57	$13,182.57
Security Health Facility/Professional Professional Modifier Low / Median / High Price $11,481.54 / $17,782.79 / $17,782.79	Professional		$11,481.54	$17,782.79	$17,782.79
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 $2,691.53 / $5,128.61 / $11,481.54	Professional		$2,691.53	$5,128.61	$11,481.54