Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $3,981.07 / $14,454.40	Facility		$1,862.09	$3,981.07	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,089.30 / $5,011.87	Professional		$1,819.70	$2,089.30	$5,011.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,748.98 / $16,218.10 / $26,302.68	Facility		$11,748.98	$16,218.10	$26,302.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $3,715.35 / $9,549.93	Professional		$1,862.09	$3,715.35	$9,549.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $5,754.40 / $9,332.54	Facility		$4,897.79	$5,754.40	$9,332.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $7,943.28 / $9,332.54	Professional		$2,511.89	$7,943.28	$9,332.54
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $3,981.07 / $10,471.29	Facility		$1,905.46	$3,981.07	$10,471.29
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $3,388.44 / $4,570.88 / $5,888.44	Professional		$3,388.44	$4,570.88	$5,888.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $4,168.69 / $15,135.61	Facility		$1,995.26	$4,168.69	$15,135.61
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $3,235.94 / $14,791.08	Professional		$1,949.84	$3,235.94	$14,791.08
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 $3,162.28 / $4,786.30 / $7,413.10	Professional		$3,162.28	$4,786.30	$7,413.10
Quartz Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $4,897.79 / $25,703.96	Facility		$4,897.79	$4,897.79	$25,703.96
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,388.44 / $9,332.54 / $14,454.40	Professional		$3,388.44	$9,332.54	$14,454.40
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,165.95 / $6,165.95 / $6,165.95	Professional		$6,165.95	$6,165.95	$6,165.95
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,754.40 / $11,748.98 / $12,302.69	Professional		$5,754.40	$11,748.98	$12,302.69
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 $1,949.84 / $2,951.21 / $7,943.28	Professional		$1,949.84	$2,951.21	$7,943.28