Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $3,311.31 / $17,782.79	Facility		$3,311.31	$3,311.31	$17,782.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $5,011.87 / $5,495.41	Professional		$1,174.90	$5,011.87	$5,495.41
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 $1,122.02 / $7,244.36 / $18,197.01	Professional		$1,122.02	$7,244.36	$18,197.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $32,359.37 / $37,153.52 / $60,255.96	Facility		$32,359.37	$37,153.52	$60,255.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,238.72 / $16,595.87	Professional		$1,995.26	$2,238.72	$16,595.87
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $7,943.28 / $14,454.40	Facility		$4,466.84	$7,943.28	$14,454.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $5,623.41 / $12,589.25 / $22,908.68	Facility		$5,623.41	$12,589.25	$22,908.68
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $2,398.83 / $6,456.54	Professional		$1,288.25	$2,398.83	$6,456.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $54.95 / $70.79	Professional		$50.12	$54.95	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,715.35 / $7,943.28 / $10,964.78	Professional		$3,715.35	$7,943.28	$10,964.78
Quartz Facility/Professional Facility Modifier Low / Median / High Price $10,471.29 / $10,471.29 / $66,069.34	Facility		$10,471.29	$10,471.29	$66,069.34
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $38,018.94 / $38,018.94	Professional		$2,570.40	$38,018.94	$38,018.94
Security Health Facility/Professional Professional Modifier Low / Median / High Price $61,659.50 / $61,659.50 / $61,659.50	Professional		$61,659.50	$61,659.50	$61,659.50
Security Health Facility/Professional Professional Modifier Low / Median / High Price $56,234.13 / $75,857.76 / $93,325.43	Professional		$56,234.13	$75,857.76	$93,325.43
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 $1,288.25 / $3,311.31 / $7,244.36	Professional		$1,288.25	$3,311.31	$7,244.36