Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $4,073.80 / $14,454.40	Facility		$1,949.84	$4,073.80	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,137.96 / $4,897.79	Professional		$1,819.70	$2,137.96	$4,897.79
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 $1,905.46 / $3,890.45 / $9,772.37	Professional		$1,905.46	$3,890.45	$9,772.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,128.61 / $6,025.60 / $9,549.93	Facility		$5,128.61	$6,025.60	$9,549.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $8,128.31 / $9,120.11	Professional		$2,454.71	$8,128.31	$9,120.11
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $3,890.45 / $9,772.37	Facility		$1,995.26	$3,890.45	$9,772.37
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $3,548.13 / $4,677.35 / $6,025.60	Professional		$3,548.13	$4,677.35	$6,025.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $4,073.80 / $15,135.61	Facility		$2,041.74	$4,073.80	$15,135.61
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $3,388.44 / $15,135.61	Professional		$1,905.46	$3,388.44	$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 $3,311.31 / $5,011.87 / $7,585.78	Professional		$3,311.31	$5,011.87	$7,585.78
Quartz Facility/Professional Facility Modifier Low / Median / High Price $9,120.11 / $19,054.61 / $19,054.61	Facility		$9,120.11	$19,054.61	$19,054.61
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,467.37 / $9,332.54 / $14,454.40	Professional		$3,467.37	$9,332.54	$14,454.40
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,456.54 / $6,456.54 / $6,456.54	Professional		$6,456.54	$6,456.54	$6,456.54
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,754.40 / $10,964.78 / $12,589.25	Professional		$5,754.40	$10,964.78	$12,589.25
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 $1,905.46 / $2,884.03 / $8,128.31	Professional		$1,905.46	$2,884.03	$8,128.31