Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $3,630.78 / $14,454.40	Facility		$1,737.80	$3,630.78	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $1,862.09 / $4,786.30	Professional		$1,659.59	$1,862.09	$4,786.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,748.98 / $15,488.17 / $26,302.68	Facility		$11,748.98	$15,488.17	$26,302.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $3,630.78 / $8,709.64	Professional		$1,778.28	$3,630.78	$8,709.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $5,370.32 / $8,511.38	Facility		$4,570.88	$5,370.32	$8,511.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $7,244.36 / $8,317.64	Professional		$2,691.53	$7,244.36	$8,317.64
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $3,630.78 / $10,471.29	Facility		$1,778.28	$3,630.78	$10,471.29
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $4,265.80 / $5,495.41	Professional		$3,162.28	$4,265.80	$5,495.41
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $3,715.35 / $15,135.61	Facility		$1,778.28	$3,715.35	$15,135.61
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $3,548.13 / $18,197.01	Professional		$1,995.26	$3,548.13	$18,197.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $70.79	Professional		$32.36	$33.11	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $3,981.07 / $6,025.60	Professional		$2,570.40	$3,981.07	$6,025.60
Quartz Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $14,454.40 / $14,454.40	Facility		$4,570.88	$14,454.40	$14,454.40
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $8,709.64 / $18,197.01	Professional		$3,162.28	$8,709.64	$18,197.01
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,754.40 / $5,754.40 / $5,754.40	Professional		$5,754.40	$5,754.40	$5,754.40
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,890.45 / $10,000.00 / $11,220.18	Professional		$3,890.45	$10,000.00	$11,220.18
United Facility/Professional Facility Modifier Low / Median / High Price $6,165.95 / $13,489.63 / $17,378.01	Facility		$6,165.95	$13,489.63	$17,378.01
United Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,884.03 / $7,413.10	Professional		$1,905.46	$2,884.03	$7,413.10