Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $4,168.69 / $23,442.29	Facility		$1,318.26	$4,168.69	$23,442.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,445.44 / $3,801.89	Professional		$1,202.26	$1,445.44	$3,801.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $10,964.78 / $18,197.01	Facility		$6,606.93	$10,964.78	$18,197.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $2,754.23 / $6,760.83	Professional		$1,348.96	$2,754.23	$6,760.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $4,073.80 / $6,456.54	Facility		$3,467.37	$4,073.80	$6,456.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $5,495.41 / $6,165.95	Professional		$1,698.24	$5,495.41	$6,165.95
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $2,754.23 / $6,918.31	Facility		$1,318.26	$2,754.23	$6,918.31
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $3,235.94 / $4,168.69	Professional		$2,398.83	$3,235.94	$4,168.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $2,951.21 / $15,135.61	Facility		$1,348.96	$2,951.21	$15,135.61
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $2,398.83 / $12,589.25	Professional		$1,380.38	$2,398.83	$12,589.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,122.02	Professional		$32.36	$33.11	$1,122.02
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,884.03 / $4,365.16	Professional		$1,905.46	$2,884.03	$4,365.16
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $9,120.11 / $9,120.11	Facility		$3,467.37	$9,120.11	$9,120.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $6,606.93 / $12,589.25	Professional		$2,398.83	$6,606.93	$12,589.25
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,365.16 / $4,365.16 / $4,365.16	Professional		$4,365.16	$4,365.16	$4,365.16
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,801.89 / $7,585.78 / $8,511.38	Professional		$3,801.89	$7,585.78	$8,511.38
United Facility/Professional Facility Modifier Low / Median / High Price $7,585.78 / $12,302.69 / $16,218.10	Facility		$7,585.78	$12,302.69	$16,218.10
United Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $2,041.74 / $5,623.41	Professional		$1,318.26	$2,041.74	$5,623.41