Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $3,090.30 / $14,454.40	Facility		$1,380.38	$3,090.30	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,621.81 / $3,090.30	Professional		$1,380.38	$1,621.81	$3,090.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,748.98 / $16,218.10 / $27,542.29	Facility		$11,748.98	$16,218.10	$27,542.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $2,818.38 / $7,585.78	Professional		$1,445.44	$2,818.38	$7,585.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $4,466.84 / $7,244.36	Facility		$3,801.89	$4,466.84	$7,244.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $5,888.44 / $6,606.93	Professional		$2,398.83	$5,888.44	$6,606.93
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $6,918.31 / $13,489.63	Facility		$1,584.89	$6,918.31	$13,489.63
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $3,715.35 / $4,570.88	Professional		$2,630.27	$3,715.35	$4,570.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $3,388.44 / $7,943.28	Facility		$1,584.89	$3,388.44	$7,943.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,630.27 / $12,589.25	Professional		$1,513.56	$2,630.27	$12,589.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,995.26	Professional		$32.36	$33.11	$1,995.26
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $3,981.07 / $6,309.57	Professional		$2,041.74	$3,981.07	$6,309.57
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $21,877.62 / $21,877.62	Facility		$3,801.89	$21,877.62	$21,877.62
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $7,079.46 / $12,589.25	Professional		$2,691.53	$7,079.46	$12,589.25
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,128.61 / $5,128.61 / $5,128.61	Professional		$5,128.61	$5,128.61	$5,128.61
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,897.79 / $8,709.64 / $10,232.93	Professional		$4,897.79	$8,709.64	$10,232.93
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 $1,445.44 / $2,344.23 / $6,456.54	Professional		$1,445.44	$2,344.23	$6,456.54