Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $3,311.31 / $14,454.40	Facility		$1,584.89	$3,311.31	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,698.24 / $3,388.44	Professional		$1,513.56	$1,698.24	$3,388.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,000.00 / $13,803.84 / $21,877.62	Facility		$10,000.00	$13,803.84	$21,877.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $3,311.31 / $8,511.38	Professional		$1,659.59	$3,311.31	$8,511.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,168.69 / $4,897.79 / $7,762.47	Facility		$4,168.69	$4,897.79	$7,762.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $6,606.93 / $7,413.10	Professional		$2,238.72	$6,606.93	$7,413.10
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $3,715.35 / $7,413.10	Facility		$1,621.81	$3,715.35	$7,413.10
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $3,890.45 / $4,677.35	Professional		$2,884.03	$3,890.45	$4,677.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $3,715.35 / $15,135.61	Facility		$1,621.81	$3,715.35	$15,135.61
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $3,019.95 / $12,022.64	Professional		$1,862.09	$3,019.95	$12,022.64
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 $2,187.76 / $3,981.07 / $5,754.40	Professional		$2,187.76	$3,981.07	$5,754.40
Quartz Facility/Professional Facility Modifier Low / Median / High Price $4,168.69 / $4,168.69 / $24,547.09	Facility		$4,168.69	$4,168.69	$24,547.09
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $8,317.64 / $11,748.98	Professional		$2,884.03	$8,317.64	$11,748.98
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,370.32 / $5,370.32 / $5,370.32	Professional		$5,370.32	$5,370.32	$5,370.32
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,165.95 / $10,232.93 / $11,748.98	Professional		$6,165.95	$10,232.93	$11,748.98
United Facility/Professional Facility Modifier Low / Median / High Price $8,912.51 / $13,803.84 / $17,782.79	Facility		$8,912.51	$13,803.84	$17,782.79
United Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,630.27 / $6,918.31	Professional		$1,819.70	$2,630.27	$6,918.31