Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,202.26 / $17,782.79	Facility		$1,202.26	$1,202.26	$17,782.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,905.46 / $2,454.71	Professional		$1,202.26	$1,905.46	$2,454.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,715.19 / $15,135.61 / $26,302.68	Facility		$10,715.19	$15,135.61	$26,302.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $2,884.03 / $7,762.47	Professional		$1,288.25	$2,884.03	$7,762.47
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 $1,202.26 / $1,949.84 / $4,073.80	Facility		$1,202.26	$1,949.84	$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 $1,548.82 / $3,981.07 / $12,302.69	Facility		$1,548.82	$3,981.07	$12,302.69
Medica Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $2,290.87 / $14,454.40	Professional		$707.95	$2,290.87	$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 $2,290.87 / $4,168.69 / $5,888.44	Professional		$2,290.87	$4,168.69	$5,888.44
Quartz Facility/Professional Facility Modifier Low / Median / High Price $7,244.36 / $13,489.63 / $19,952.62	Facility		$7,244.36	$13,489.63	$19,952.62
Quartz Facility/Professional Professional Modifier Low / Median / High Price $8,317.64 / $10,000.00 / $14,454.40	Professional		$8,317.64	$10,000.00	$14,454.40
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 $724.44 / $2,344.23 / $8,317.64	Professional		$724.44	$2,344.23	$8,317.64