Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $2,691.53 / $14,454.40	Facility		$1,288.25	$2,691.53	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,348.96 / $2,951.21	Professional		$1,202.26	$1,348.96	$2,951.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,715.19 / $15,135.61 / $26,302.68	Facility		$10,715.19	$15,135.61	$26,302.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $2,691.53 / $6,918.31	Professional		$1,318.26	$2,691.53	$6,918.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $3,981.07 / $6,309.57	Facility		$3,388.44	$3,981.07	$6,309.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $5,370.32 / $6,165.95	Professional		$1,621.81	$5,370.32	$6,165.95
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $2,570.40 / $5,495.41	Facility		$1,288.25	$2,570.40	$5,495.41
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $3,162.28 / $4,073.80	Professional		$2,344.23	$3,162.28	$4,073.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $2,691.53 / $15,135.61	Facility		$1,288.25	$2,691.53	$15,135.61
Medica Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $2,238.72 / $9,772.37	Professional		$891.25	$2,238.72	$9,772.37
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 $1,949.84 / $2,951.21 / $4,466.84	Professional		$1,949.84	$2,951.21	$4,466.84
Quartz Facility/Professional Facility Modifier Low / Median / High Price $18,197.01 / $26,915.35 / $26,915.35	Facility		$18,197.01	$26,915.35	$26,915.35
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $6,456.54 / $9,772.37	Professional		$2,344.23	$6,456.54	$9,772.37
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,265.80 / $4,265.80 / $4,265.80	Professional		$4,265.80	$4,265.80	$4,265.80
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $7,244.36 / $8,317.64	Professional		$2,137.96	$7,244.36	$8,317.64
United Facility/Professional Facility Modifier Low / Median / High Price $7,585.78 / $12,302.69 / $16,595.87	Facility		$7,585.78	$12,302.69	$16,595.87
United Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,905.46 / $5,370.32	Professional		$933.25	$1,905.46	$5,370.32