Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $3,311.31 / $14,454.40	Facility		$1,621.81	$3,311.31	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,621.81 / $4,570.88	Professional		$1,479.11	$1,621.81	$4,570.88
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 $1,621.81 / $3,311.31 / $8,128.31	Professional		$1,621.81	$3,311.31	$8,128.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $4,897.79 / $7,943.28	Facility		$4,265.80	$4,897.79	$7,943.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $6,606.93 / $7,585.78	Professional		$2,089.30	$6,606.93	$7,585.78
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $3,311.31 / $9,772.37	Facility		$1,621.81	$3,311.31	$9,772.37
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $3,890.45 / $5,011.87	Professional		$2,884.03	$3,890.45	$5,011.87
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $3,548.13 / $13,489.63	Facility		$1,621.81	$3,548.13	$13,489.63
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $3,388.44 / $14,454.40	Professional		$1,698.24	$3,388.44	$14,454.40
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 $2,290.87 / $3,467.37 / $5,248.07	Professional		$2,290.87	$3,467.37	$5,248.07
Quartz Facility/Professional Facility Modifier Low / Median / High Price $4,168.69 / $14,791.08 / $14,791.08	Facility		$4,168.69	$14,791.08	$14,791.08
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $7,943.28 / $14,454.40	Professional		$2,884.03	$7,943.28	$14,454.40
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,370.32 / $5,370.32 / $5,370.32	Professional		$5,370.32	$5,370.32	$5,370.32
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,011.87 / $9,120.11 / $10,232.93	Professional		$5,011.87	$9,120.11	$10,232.93
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 $1,659.59 / $2,818.38 / $6,760.83	Professional		$1,659.59	$2,818.38	$6,760.83