Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $2,754.23 / $14,454.40	Facility		$1,318.26	$2,754.23	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,348.96 / $3,715.35	Professional		$1,202.26	$1,348.96	$3,715.35
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 $1,412.54 / $2,754.23 / $7,413.10	Professional		$1,412.54	$2,754.23	$7,413.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $4,073.80 / $6,918.31	Facility		$3,548.13	$4,073.80	$6,918.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $5,495.41 / $6,165.95	Professional		$1,698.24	$5,495.41	$6,165.95
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $2,754.23 / $9,772.37	Facility		$1,318.26	$2,754.23	$9,772.37
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $3,235.94 / $4,168.69	Professional		$2,398.83	$3,235.94	$4,168.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $2,951.21 / $15,135.61	Facility		$1,348.96	$2,951.21	$15,135.61
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $2,344.23 / $14,454.40	Professional		$1,380.38	$2,344.23	$14,454.40
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 $1,905.46 / $2,884.03 / $4,466.84	Professional		$1,905.46	$2,884.03	$4,466.84
Quartz Facility/Professional Facility Modifier Low / Median / High Price $7,943.28 / $15,135.61 / $22,387.21	Facility		$7,943.28	$15,135.61	$22,387.21
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $6,760.83 / $14,454.40	Professional		$2,398.83	$6,760.83	$14,454.40
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,466.84 / $4,466.84 / $4,466.84	Professional		$4,466.84	$4,466.84	$4,466.84
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,265.80 / $7,762.47 / $8,511.38	Professional		$4,265.80	$7,762.47	$8,511.38
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 $1,348.96 / $1,995.26 / $5,754.40	Professional		$1,348.96	$1,995.26	$5,754.40