Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $2,818.38 / $14,454.40	Facility		$1,348.96	$2,818.38	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,380.38 / $3,467.37	Professional		$1,230.27	$1,380.38	$3,467.37
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 $1,380.38 / $2,818.38 / $6,918.31	Professional		$1,380.38	$2,818.38	$6,918.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $4,168.69 / $6,760.83	Facility		$3,548.13	$4,168.69	$6,760.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $5,623.41 / $6,309.57	Professional		$1,819.70	$5,623.41	$6,309.57
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $2,818.38 / $6,918.31	Facility		$1,348.96	$2,818.38	$6,918.31
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $3,311.31 / $4,265.80	Professional		$2,454.71	$3,311.31	$4,265.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $3,019.95 / $15,135.61	Facility		$1,380.38	$3,019.95	$15,135.61
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $2,454.71 / $13,182.57	Professional		$1,412.54	$2,454.71	$13,182.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $85.11	Professional		$32.36	$33.11	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,951.21 / $4,466.84	Professional		$1,949.84	$2,951.21	$4,466.84
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $12,589.25 / $12,589.25	Facility		$3,548.13	$12,589.25	$12,589.25
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $6,760.83 / $13,182.57	Professional		$2,454.71	$6,760.83	$13,182.57
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,466.84 / $4,466.84 / $4,466.84	Professional		$4,466.84	$4,466.84	$4,466.84
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,890.45 / $7,762.47 / $8,709.64	Professional		$3,890.45	$7,762.47	$8,709.64
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 $1,380.38 / $2,089.30 / $5,754.40	Professional		$1,380.38	$2,089.30	$5,754.40