Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $2,238.72 / $14,454.40	Facility		$1,071.52	$2,238.72	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,174.90 / $3,090.30	Professional		$1,000.00	$1,174.90	$3,090.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,022.64 / $16,982.44 / $28,840.32	Facility		$12,022.64	$16,982.44	$28,840.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $2,238.72 / $5,754.40	Professional		$1,071.52	$2,238.72	$5,754.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $3,311.31 / $5,623.41	Facility		$2,884.03	$3,311.31	$5,623.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $4,466.84 / $5,011.87	Professional		$1,412.54	$4,466.84	$5,011.87
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $2,187.76 / $6,456.54	Facility		$1,096.48	$2,187.76	$6,456.54
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,630.27 / $3,388.44	Professional		$1,949.84	$2,630.27	$3,388.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $2,238.72 / $15,135.61	Facility		$1,096.48	$2,238.72	$15,135.61
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,905.46 / $8,128.31	Professional		$1,122.02	$1,905.46	$8,128.31
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 $1,621.81 / $2,454.71 / $3,715.35	Professional		$1,621.81	$2,454.71	$3,715.35
Quartz Facility/Professional Facility Modifier Low / Median / High Price $13,489.63 / $25,703.96 / $38,018.94	Facility		$13,489.63	$25,703.96	$38,018.94
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $5,248.07 / $7,943.28	Professional		$1,949.84	$5,248.07	$7,943.28
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,548.13 / $3,548.13 / $3,548.13	Professional		$3,548.13	$3,548.13	$3,548.13
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $6,025.60 / $6,918.31	Professional		$2,511.89	$6,025.60	$6,918.31
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 $1,071.52 / $1,621.81 / $4,466.84	Professional		$1,071.52	$1,621.81	$4,466.84