Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $2,290.87 / $14,454.40	Facility		$1,096.48	$2,290.87	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,148.15 / $3,019.95	Professional		$1,023.29	$1,148.15	$3,019.95
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 $1,096.48 / $2,238.72 / $5,888.44	Professional		$1,096.48	$2,238.72	$5,888.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $3,388.44 / $5,623.41	Facility		$2,884.03	$3,388.44	$5,623.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $4,570.88 / $5,128.61	Professional		$1,621.81	$4,570.88	$5,128.61
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $2,187.76 / $6,456.54	Facility		$1,122.02	$2,187.76	$6,456.54
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,691.53 / $3,467.37	Professional		$1,995.26	$2,691.53	$3,467.37
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $2,290.87 / $15,135.61	Facility		$1,122.02	$2,290.87	$15,135.61
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $2,089.30 / $8,709.64	Professional		$1,202.26	$2,089.30	$8,709.64
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 $1,621.81 / $2,454.71 / $3,801.89	Professional		$1,621.81	$2,454.71	$3,801.89
Quartz Facility/Professional Facility Modifier Low / Median / High Price $9,332.54 / $17,378.01 / $25,703.96	Facility		$9,332.54	$17,378.01	$25,703.96
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $5,370.32 / $8,912.51	Professional		$1,995.26	$5,370.32	$8,912.51
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,630.78 / $3,630.78 / $3,630.78	Professional		$3,630.78	$3,630.78	$3,630.78
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $6,165.95 / $7,079.46	Professional		$2,570.40	$6,165.95	$7,079.46
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 $1,174.90 / $1,737.80 / $4,570.88	Professional		$1,174.90	$1,737.80	$4,570.88