Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $2,630.27 / $14,454.40	Facility		$1,621.81	$2,630.27	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,621.81 / $3,311.31	Professional		$1,202.26	$1,621.81	$3,311.31
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 / $7,079.46	Professional		$1,288.25	$2,511.89	$7,079.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $3,890.45 / $6,165.95	Facility		$3,311.31	$3,890.45	$6,165.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $4,073.80 / $4,570.88	Professional		$2,089.30	$4,073.80	$4,570.88
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $7,244.36 / $13,489.63	Facility		$1,513.56	$7,244.36	$13,489.63
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $3,388.44 / $3,981.07	Professional		$2,754.23	$3,388.44	$3,981.07
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $2,818.38 / $9,549.93	Facility		$1,479.11	$2,818.38	$9,549.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,691.53 / $11,481.54	Professional		$1,548.82	$2,691.53	$11,481.54
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 $2,344.23 / $3,311.31 / $5,495.41	Professional		$2,344.23	$3,311.31	$5,495.41
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $23,988.33 / $23,988.33	Facility		$3,311.31	$23,988.33	$23,988.33
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $6,456.54 / $11,481.54	Professional		$2,238.72	$6,456.54	$11,481.54
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,760.83 / $6,760.83 / $6,760.83	Professional		$6,760.83	$6,760.83	$6,760.83
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,888.44 / $8,912.51 / $9,120.11	Professional		$5,888.44	$8,912.51	$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 $1,479.11 / $2,570.40 / $5,888.44	Professional		$1,479.11	$2,570.40	$5,888.44