Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,174.90 / $17,782.79	Facility		$1,174.90	$1,174.90	$17,782.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,905.46 / $2,630.27	Professional		$1,174.90	$1,905.46	$2,630.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,585.78 / $15,135.61 / $26,302.68	Facility		$7,585.78	$15,135.61	$26,302.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $2,951.21 / $7,244.36	Professional		$954.99	$2,951.21	$7,244.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,248.07 / $6,165.95 / $9,772.37	Facility		$5,248.07	$6,165.95	$9,772.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $3,162.28 / $3,630.78	Professional		$2,238.72	$3,162.28	$3,630.78
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,862.09 / $4,073.80	Facility		$1,174.90	$1,862.09	$4,073.80
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $3,890.45 / $3,890.45 / $3,890.45	Professional		$3,890.45	$3,890.45	$3,890.45
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $3,981.07 / $12,302.69	Facility		$1,380.38	$3,981.07	$12,302.69
Medica Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $1,698.24 / $14,454.40	Professional		$575.44	$1,698.24	$14,454.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $54.95 / $70.79	Professional		$32.36	$54.95	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $4,677.35 / $6,456.54	Professional		$2,187.76	$4,677.35	$6,456.54
Quartz Facility/Professional Facility Modifier Low / Median / High Price $9,332.54 / $17,782.79 / $26,302.68	Facility		$9,332.54	$17,782.79	$26,302.68
Quartz Facility/Professional Professional Modifier Low / Median / High Price $7,762.47 / $8,317.64 / $14,125.38	Professional		$7,762.47	$8,317.64	$14,125.38
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,309.57 / $6,309.57 / $6,309.57	Professional		$6,309.57	$6,309.57	$6,309.57
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7,585.78 / $12,589.25 / $13,489.63	Professional		$7,585.78	$12,589.25	$13,489.63
United Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $10,232.93 / $14,454.40	Facility		$6,606.93	$10,232.93	$14,454.40
United Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $1,819.70 / $5,754.40	Professional		$588.84	$1,819.70	$5,754.40