Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $6,309.57 / $12,022.64	Facility		$1,698.24	$6,309.57	$12,022.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,698.24 / $4,265.80	Professional		$1,548.82	$1,698.24	$4,265.80
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 $1,737.80 / $3,467.37 / $8,511.38	Professional		$1,737.80	$3,467.37	$8,511.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $5,248.07 / $8,317.64	Facility		$4,466.84	$5,248.07	$8,317.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $6,918.31 / $7,943.28	Professional		$2,137.96	$6,918.31	$7,943.28
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $3,548.13 / $9,772.37	Facility		$1,698.24	$3,548.13	$9,772.37
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $4,073.80 / $5,248.07	Professional		$3,019.95	$4,073.80	$5,248.07
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $3,548.13 / $13,489.63	Facility		$1,698.24	$3,548.13	$13,489.63
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,951.21 / $15,135.61	Professional		$1,698.24	$2,951.21	$15,135.61
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 $2,398.83 / $3,630.78 / $5,495.41	Professional		$2,398.83	$3,630.78	$5,495.41
Quartz Facility/Professional Facility Modifier Low / Median / High Price $4,365.16 / $15,488.17 / $15,488.17	Facility		$4,365.16	$15,488.17	$15,488.17
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $8,511.38 / $15,135.61	Professional		$3,019.95	$8,511.38	$15,135.61
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,623.41 / $5,623.41 / $5,623.41	Professional		$5,623.41	$5,623.41	$5,623.41
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,495.41 / $9,549.93 / $10,964.78	Professional		$5,495.41	$9,549.93	$10,964.78
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 $1,698.24 / $2,511.89 / $7,244.36	Professional		$1,698.24	$2,511.89	$7,244.36