Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $5,011.87 / $14,454.40	Facility		$3,090.30	$5,011.87	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $3,090.30 / $6,165.95	Professional		$2,290.87	$3,090.30	$6,165.95
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 $2,454.71 / $4,786.30 / $13,803.84	Professional		$2,454.71	$4,786.30	$13,803.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,165.95 / $7,244.36 / $11,481.54	Facility		$6,165.95	$7,244.36	$11,481.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,890.45 / $7,762.47 / $8,709.64	Professional		$3,890.45	$7,762.47	$8,709.64
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $7,244.36 / $13,489.63	Facility		$2,691.53	$7,244.36	$13,489.63
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $5,248.07 / $6,456.54 / $7,413.10	Professional		$5,248.07	$6,456.54	$7,413.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $3,890.45 / $9,549.93	Facility		$2,238.72	$3,890.45	$9,549.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $5,011.87 / $18,620.87	Professional		$2,570.40	$5,011.87	$18,620.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $3,388.44	Professional		$32.36	$33.11	$3,388.44
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,365.16 / $6,309.57 / $10,471.29	Professional		$4,365.16	$6,309.57	$10,471.29
Quartz Facility/Professional Facility Modifier Low / Median / High Price $6,309.57 / $60,255.96 / $60,255.96	Facility		$6,309.57	$60,255.96	$60,255.96
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,265.80 / $12,302.69 / $18,197.01	Professional		$4,265.80	$12,302.69	$18,197.01
Security Health Facility/Professional Professional Modifier Low / Median / High Price $12,882.50 / $12,882.50 / $12,882.50	Professional		$12,882.50	$12,882.50	$12,882.50
Security Health Facility/Professional Professional Modifier Low / Median / High Price $11,481.54 / $16,982.44 / $16,982.44	Professional		$11,481.54	$16,982.44	$16,982.44
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 $2,511.89 / $5,011.87 / $11,220.18	Professional		$2,511.89	$5,011.87	$11,220.18