Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $6,456.54 / $22,387.21	Facility		$812.83	$6,456.54	$22,387.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $3,388.44 / $9,549.93	Professional		$758.58	$3,388.44	$9,549.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,882.50 / $17,378.01 / $28,840.32	Facility		$12,882.50	$17,378.01	$28,840.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $6,025.60 / $23,442.29	Professional		$1,202.26	$6,025.60	$23,442.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15,488.17 / $18,197.01 / $28,840.32	Facility		$15,488.17	$18,197.01	$28,840.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $2,754.23 / $20,892.96	Professional		$1,230.27	$2,754.23	$20,892.96
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $5,128.61 / $9,772.37	Facility		$891.25	$5,128.61	$9,772.37
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,511.89 / $16,218.10	Professional		$1,621.81	$2,511.89	$16,218.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $9,549.93 / $19,952.62	Facility		$891.25	$9,549.93	$19,952.62
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $12,022.64 / $41,686.94	Professional		$1,819.70	$12,022.64	$41,686.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $2,344.23	Professional		$32.36	$33.11	$2,344.23
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $6,309.57 / $19,498.45	Professional		$1,348.96	$6,309.57	$19,498.45
Quartz Facility/Professional Facility Modifier Low / Median / High Price $26,915.35 / $38,904.51 / $38,904.51	Facility		$26,915.35	$38,904.51	$38,904.51
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $11,748.98 / $38,904.51	Professional		$1,047.13	$11,748.98	$38,904.51
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $19,498.45 / $28,183.83	Professional		$2,630.27	$19,498.45	$28,183.83
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 / $3,715.35 / $23,988.33	Professional		$912.01	$3,715.35	$23,988.33