Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $3,467.37 / $14,454.40	Facility		$1,621.81	$3,467.37	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,698.24 / $4,570.88	Professional		$1,513.56	$1,698.24	$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 / $3,235.94 / $8,317.64	Professional		$1,621.81	$3,235.94	$8,317.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,365.16 / $5,011.87 / $8,128.31	Facility		$4,365.16	$5,011.87	$8,128.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $6,760.83 / $7,762.47	Professional		$2,089.30	$6,760.83	$7,762.47
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $3,467.37 / $9,772.37	Facility		$1,659.59	$3,467.37	$9,772.37
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $3,981.07 / $5,128.61	Professional		$2,951.21	$3,981.07	$5,128.61
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $3,467.37 / $13,489.63	Facility		$1,659.59	$3,467.37	$13,489.63
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,951.21 / $17,782.79	Professional		$1,659.59	$2,951.21	$17,782.79
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 $2,344.23 / $3,548.13 / $5,495.41	Professional		$2,344.23	$3,548.13	$5,495.41
Quartz Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $15,488.17 / $15,488.17	Facility		$4,265.80	$15,488.17	$15,488.17
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $8,128.31 / $17,782.79	Professional		$2,951.21	$8,128.31	$17,782.79
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,495.41 / $5,495.41 / $5,495.41	Professional		$5,495.41	$5,495.41	$5,495.41
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,128.61 / $9,332.54 / $10,471.29	Professional		$5,128.61	$9,332.54	$10,471.29
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 / $2,454.71 / $6,918.31	Professional		$1,659.59	$2,454.71	$6,918.31