Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $3,235.94 / $14,454.40	Facility		$1,584.89	$3,235.94	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,584.89 / $4,365.16	Professional		$1,412.54	$1,584.89	$4,365.16
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 $1,659.59 / $3,235.94 / $8,128.31	Professional		$1,659.59	$3,235.94	$8,128.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,168.69 / $4,786.30 / $7,762.47	Facility		$4,168.69	$4,786.30	$7,762.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $6,456.54 / $7,413.10	Professional		$2,041.74	$6,456.54	$7,413.10
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $3,235.94 / $9,772.37	Facility		$1,584.89	$3,235.94	$9,772.37
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $3,801.89 / $4,897.79	Professional		$2,818.38	$3,801.89	$4,897.79
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $3,467.37 / $13,489.63	Facility		$1,584.89	$3,467.37	$13,489.63
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,884.03 / $15,488.17	Professional		$1,659.59	$2,884.03	$15,488.17
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 $2,238.72 / $3,388.44 / $5,248.07	Professional		$2,238.72	$3,388.44	$5,248.07
Quartz Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $14,454.40 / $14,454.40	Facility		$4,073.80	$14,454.40	$14,454.40
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $7,943.28 / $15,488.17	Professional		$2,818.38	$7,943.28	$15,488.17
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,248.07 / $5,248.07 / $5,248.07	Professional		$5,248.07	$5,248.07	$5,248.07
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,677.35 / $9,120.11 / $10,000.00	Professional		$4,677.35	$9,120.11	$10,000.00
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 $1,621.81 / $2,454.71 / $6,760.83	Professional		$1,621.81	$2,454.71	$6,760.83