Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $3,981.07 / $17,782.79	Facility		$3,981.07	$3,981.07	$17,782.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $4,786.30 / $7,585.78	Professional		$630.96	$4,786.30	$7,585.78
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 $630.96 / $6,760.83 / $18,197.01	Professional		$630.96	$6,760.83	$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 $1,096.48 / $1,230.27 / $16,595.87	Professional		$1,096.48	$1,230.27	$16,595.87
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $5,888.44 / $8,511.38 / $15,135.61	Facility		$5,888.44	$8,511.38	$15,135.61
Medica Facility/Professional Facility Modifier Low / Median / High Price $6,165.95 / $13,182.57 / $22,908.68	Facility		$6,165.95	$13,182.57	$22,908.68
Medica Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $1,659.59 / $10,232.93	Professional		$645.65	$1,659.59	$10,232.93
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 $12,022.64 / $25,703.96 / $35,481.34	Professional		$12,022.64	$25,703.96	$35,481.34
Quartz Facility/Professional Facility Modifier Low / Median / High Price $26,915.35 / $26,915.35 / $81,283.05	Facility		$26,915.35	$26,915.35	$81,283.05
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $72,443.60 / $72,443.60	Professional		$1,479.11	$72,443.60	$72,443.60
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 $645.65 / $2,089.30 / $12,882.50	Professional		$645.65	$2,089.30	$12,882.50