Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $3,162.28 / $14,454.40	Facility		$1,513.56	$3,162.28	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,548.82 / $3,890.45	Professional		$1,380.38	$1,548.82	$3,890.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $7,762.47 / $12,589.25	Facility		$3,981.07	$7,762.47	$12,589.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $3,090.30 / $7,413.10	Professional		$1,445.44	$3,090.30	$7,413.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $4,677.35 / $7,413.10	Facility		$3,981.07	$4,677.35	$7,413.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $6,309.57 / $7,762.47	Professional		$1,905.46	$6,309.57	$7,762.47
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $3,090.30 / $7,244.36	Facility		$1,513.56	$3,090.30	$7,244.36
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $3,630.78 / $4,677.35	Professional		$2,691.53	$3,630.78	$4,677.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $3,019.95 / $6,165.95	Facility		$1,513.56	$3,019.95	$6,165.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $2,630.27 / $11,481.54	Professional		$1,412.54	$2,630.27	$11,481.54
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 $2,290.87 / $3,467.37 / $5,248.07	Professional		$2,290.87	$3,467.37	$5,248.07
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $6,025.60 / $9,772.37	Facility		$3,235.94	$6,025.60	$9,772.37
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $7,244.36 / $10,964.78	Professional		$2,691.53	$7,244.36	$10,964.78
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,011.87 / $5,011.87 / $5,011.87	Professional		$5,011.87	$5,011.87	$5,011.87
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,365.16 / $8,511.38 / $9,772.37	Professional		$4,365.16	$8,511.38	$9,772.37
United Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $3,801.89 / $6,606.93	Facility		$2,884.03	$3,801.89	$6,606.93
United Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $2,187.76 / $6,165.95	Professional		$1,412.54	$2,187.76	$6,165.95