Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $3,162.28 / $14,454.40	Facility		$1,949.84	$3,162.28	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,949.84 / $3,981.07	Professional		$1,479.11	$1,949.84	$3,981.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $10,964.78 / $18,197.01	Facility		$6,606.93	$10,964.78	$18,197.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,951.21 / $9,120.11	Professional		$1,548.82	$2,951.21	$9,120.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $4,570.88 / $7,244.36	Facility		$3,890.45	$4,570.88	$7,244.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $4,897.79 / $6,165.95	Professional		$2,570.40	$4,897.79	$6,165.95
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $7,244.36 / $13,489.63	Facility		$1,698.24	$7,244.36	$13,489.63
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $3,311.31 / $4,073.80 / $4,677.35	Professional		$3,311.31	$4,073.80	$4,677.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $3,388.44 / $9,549.93	Facility		$1,698.24	$3,388.44	$9,549.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $3,388.44 / $11,748.98	Professional		$2,041.74	$3,388.44	$11,748.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $2,290.87	Professional		$32.36	$33.11	$2,290.87
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $3,890.45 / $6,606.93	Professional		$2,754.23	$3,890.45	$6,606.93
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $29,512.09 / $29,512.09	Facility		$3,981.07	$29,512.09	$29,512.09
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $8,317.64 / $11,481.54	Professional		$2,691.53	$8,317.64	$11,481.54
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8,128.31 / $8,128.31 / $8,128.31	Professional		$8,128.31	$8,128.31	$8,128.31
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7,762.47 / $10,715.19 / $11,481.54	Professional		$7,762.47	$10,715.19	$11,481.54
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 $1,949.84 / $3,311.31 / $7,585.78	Professional		$1,949.84	$3,311.31	$7,585.78