Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $3,715.35 / $14,454.40	Facility		$1,778.28	$3,715.35	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $1,819.70 / $4,786.30	Professional		$1,659.59	$1,819.70	$4,786.30
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 $1,778.28 / $3,715.35 / $8,912.51	Professional		$1,778.28	$3,715.35	$8,912.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,677.35 / $5,495.41 / $8,709.64	Facility		$4,677.35	$5,495.41	$8,709.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $7,244.36 / $8,317.64	Professional		$2,511.89	$7,244.36	$8,317.64
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $3,715.35 / $9,772.37	Facility		$1,778.28	$3,715.35	$9,772.37
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 $1,819.70 / $3,890.45 / $13,489.63	Facility		$1,819.70	$3,890.45	$13,489.63
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $3,467.37 / $18,197.01	Professional		$1,949.84	$3,467.37	$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 $2,454.71 / $3,715.35 / $5,623.41	Professional		$2,454.71	$3,715.35	$5,623.41
Quartz Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $16,595.87 / $16,595.87	Facility		$4,570.88	$16,595.87	$16,595.87
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 $5,888.44 / $5,888.44 / $5,888.44	Professional		$5,888.44	$5,888.44	$5,888.44
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,606.93 / $10,000.00 / $11,481.54	Professional		$6,606.93	$10,000.00	$11,481.54
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 $1,862.09 / $2,818.38 / $7,413.10	Professional		$1,862.09	$2,818.38	$7,413.10