Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $6,456.54 / $12,882.50	Facility		$1,318.26	$6,456.54	$12,882.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $2,511.89 / $12,882.50	Professional		$645.65	$2,511.89	$12,882.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,882.50 / $17,378.01 / $29,512.09	Facility		$12,882.50	$17,378.01	$29,512.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $6,760.83 / $28,183.83	Professional		$1,047.13	$6,760.83	$28,183.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17,782.79 / $20,417.38 / $33,113.11	Facility		$17,782.79	$20,417.38	$33,113.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $4,265.80 / $23,442.29	Professional		$1,202.26	$4,265.80	$23,442.29
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $7,762.47 / $13,489.63	Facility		$812.83	$7,762.47	$13,489.63
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,187.76 / $18,620.87	Professional		$1,548.82	$2,187.76	$18,620.87
Medica Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $12,022.64 / $21,379.62	Facility		$758.58	$12,022.64	$21,379.62
Medica Facility/Professional Professional Modifier Low / Median / High Price $8,317.64 / $15,135.61 / $37,153.52	Professional		$8,317.64	$15,135.61	$37,153.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $2,089.30	Professional		$32.36	$33.11	$2,089.30
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $6,760.83 / $20,892.96	Professional		$1,288.25	$6,760.83	$20,892.96
Quartz Facility/Professional Facility Modifier Low / Median / High Price $23,442.29 / $23,442.29 / $52,480.75	Facility		$23,442.29	$23,442.29	$52,480.75
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $13,489.63 / $44,668.36	Professional		$1,122.02	$13,489.63	$44,668.36
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,715.35 / $28,183.83 / $45,708.82	Professional		$3,715.35	$28,183.83	$45,708.82
United Facility/Professional Facility Modifier Low / Median / High Price $8,709.64 / $16,982.44 / $22,387.21	Facility		$8,709.64	$16,982.44	$22,387.21
United Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $6,165.95 / $28,840.32	Professional		$912.01	$6,165.95	$28,840.32