Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $2,630.27 / $14,454.40	Facility		$1,258.93	$2,630.27	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,318.26 / $3,235.94	Professional		$1,148.15	$1,318.26	$3,235.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,022.64 / $16,982.44 / $29,512.09	Facility		$12,022.64	$16,982.44	$29,512.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $2,630.27 / $6,760.83	Professional		$1,230.27	$2,630.27	$6,760.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $3,890.45 / $6,606.93	Facility		$3,311.31	$3,890.45	$6,606.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $5,248.07 / $5,888.44	Professional		$1,659.59	$5,248.07	$5,888.44
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $2,511.89 / $6,456.54	Facility		$1,258.93	$2,511.89	$6,456.54
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $3,090.30 / $3,981.07	Professional		$2,290.87	$3,090.30	$3,981.07
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $2,630.27 / $15,135.61	Facility		$1,288.25	$2,630.27	$15,135.61
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $2,290.87 / $9,549.93	Professional		$1,288.25	$2,290.87	$9,549.93
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 $1,905.46 / $2,884.03 / $4,365.16	Professional		$1,905.46	$2,884.03	$4,365.16
Quartz Facility/Professional Facility Modifier Low / Median / High Price $19,054.61 / $36,307.81 / $52,480.75	Facility		$19,054.61	$36,307.81	$52,480.75
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $6,165.95 / $9,332.54	Professional		$2,290.87	$6,165.95	$9,332.54
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,168.69 / $4,168.69 / $4,168.69	Professional		$4,168.69	$4,168.69	$4,168.69
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $7,079.46 / $8,128.31	Professional		$1,995.26	$7,079.46	$8,128.31
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 $1,230.27 / $1,905.46 / $5,248.07	Professional		$1,230.27	$1,905.46	$5,248.07