Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,888.44 / $9,332.54 / $16,595.87	Facility		$5,888.44	$9,332.54	$16,595.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,265.80 / $5,888.44 / $11,748.98	Professional		$4,265.80	$5,888.44	$11,748.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13,803.84 / $18,620.87 / $29,512.09	Facility		$13,803.84	$18,620.87	$29,512.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,570.88 / $8,912.51 / $25,703.96	Professional		$4,570.88	$8,912.51	$25,703.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11,748.98 / $13,803.84 / $21,877.62	Facility		$11,748.98	$13,803.84	$21,877.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7,413.10 / $14,454.40 / $16,595.87	Professional		$7,413.10	$14,454.40	$16,595.87
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $7,943.28 / $14,791.08	Facility		$5,011.87	$7,943.28	$14,791.08
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $9,772.37 / $12,022.64 / $14,125.38	Professional		$9,772.37	$12,022.64	$14,125.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $5,011.87 / $19,054.61	Facility		$2,570.40	$5,011.87	$19,054.61
Medica Facility/Professional Professional Modifier Low / Median / High Price $5,370.32 / $9,772.37 / $37,153.52	Professional		$5,370.32	$9,772.37	$37,153.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $6,456.54	Professional		$32.36	$33.11	$6,456.54
Quartz Facility/Professional Professional Modifier Low / Median / High Price $8,317.64 / $11,748.98 / $19,498.45	Professional		$8,317.64	$11,748.98	$19,498.45
Quartz Facility/Professional Facility Modifier Low / Median / High Price $11,748.98 / $112,201.85 / $112,201.85	Facility		$11,748.98	$112,201.85	$112,201.85
Quartz Facility/Professional Professional Modifier Low / Median / High Price $28,183.83 / $38,018.94 / $38,018.94	Professional		$28,183.83	$38,018.94	$38,018.94
Security Health Facility/Professional Professional Modifier Low / Median / High Price $23,988.33 / $23,988.33 / $23,988.33	Professional		$23,988.33	$23,988.33	$23,988.33
Security Health Facility/Professional Professional Modifier Low / Median / High Price $21,877.62 / $31,622.78 / $32,359.37	Professional		$21,877.62	$31,622.78	$32,359.37
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 $4,786.30 / $9,332.54 / $20,892.96	Professional		$4,786.30	$9,332.54	$20,892.96