Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $1,513.56 / $17,782.79	Facility		$1,513.56	$1,513.56	$17,782.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,584.89 / $3,467.37	Professional		$1,412.54	$1,584.89	$3,467.37
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $8,317.64 / $14,125.38	Facility		$5,011.87	$8,317.64	$14,125.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $3,090.30 / $7,762.47	Professional		$1,513.56	$3,090.30	$7,762.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $5,754.40 / $9,120.11	Facility		$4,897.79	$5,754.40	$9,120.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $6,760.83 / $7,762.47	Professional		$1,995.26	$6,760.83	$7,762.47
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $3,019.95 / $10,471.29	Facility		$1,548.82	$3,019.95	$10,471.29
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $3,235.94 / $13,489.63	Facility		$1,548.82	$3,235.94	$13,489.63
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $2,089.30 / $14,125.38	Professional		$1,288.25	$2,089.30	$14,125.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $446.68	Professional		$32.36	$33.11	$446.68
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $3,630.78 / $5,370.32	Professional		$2,398.83	$3,630.78	$5,370.32
Quartz Facility/Professional Facility Modifier Low / Median / High Price $5,128.61 / $5,128.61 / $28,840.32	Facility		$5,128.61	$5,128.61	$28,840.32
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $7,585.78 / $14,125.38	Professional		$2,754.23	$7,585.78	$14,125.38
Security Health Facility/Professional Professional Modifier Low / Median / High Price $9,772.37 / $9,772.37 / $9,772.37	Professional		$9,772.37	$9,772.37	$9,772.37
United Facility/Professional Facility Modifier Low / Median / High Price $7,585.78 / $12,022.64 / $16,218.10	Facility		$7,585.78	$12,022.64	$16,218.10
United Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $2,089.30 / $6,309.57	Professional		$1,288.25	$2,089.30	$6,309.57