Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $3,715.35 / $14,454.40	Facility		$2,290.87	$3,715.35	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,290.87 / $4,570.88	Professional		$1,698.24	$2,290.87	$4,570.88
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 $1,819.70 / $3,467.37 / $10,232.93	Professional		$1,819.70	$3,467.37	$10,232.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $5,370.32 / $8,511.38	Facility		$4,570.88	$5,370.32	$8,511.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,090.30 / $5,623.41 / $6,456.54	Professional		$3,090.30	$5,623.41	$6,456.54
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $7,413.10 / $14,454.40	Facility		$2,089.30	$7,413.10	$14,454.40
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $3,801.89 / $4,786.30 / $5,495.41	Professional		$3,801.89	$4,786.30	$5,495.41
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $3,548.13 / $9,549.93	Facility		$1,949.84	$3,548.13	$9,549.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $4,677.35 / $10,715.19	Professional		$2,344.23	$4,677.35	$10,715.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $2,570.40	Professional		$32.36	$33.11	$2,570.40
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,235.94 / $4,570.88 / $7,762.47	Professional		$3,235.94	$4,570.88	$7,762.47
Quartz Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $4,570.88 / $33,884.42	Facility		$4,570.88	$4,570.88	$33,884.42
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,090.30 / $9,120.11 / $13,489.63	Professional		$3,090.30	$9,120.11	$13,489.63
Security Health Facility/Professional Professional Modifier Low / Median / High Price $9,549.93 / $9,549.93 / $9,549.93	Professional		$9,549.93	$9,549.93	$9,549.93
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8,511.38 / $12,589.25 / $12,589.25	Professional		$8,511.38	$12,589.25	$12,589.25
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 $2,187.76 / $4,073.80 / $8,317.64	Professional		$2,187.76	$4,073.80	$8,317.64