Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $6,456.54 / $16,595.87	Facility		$1,174.90	$6,456.54	$16,595.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,318.26 / $3,388.44	Professional		$1,122.02	$1,318.26	$3,388.44
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 $1,202.26 / $2,454.71 / $6,309.57	Professional		$1,202.26	$2,454.71	$6,309.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $3,715.35 / $5,888.44	Facility		$3,162.28	$3,715.35	$5,888.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $4,897.79 / $5,623.41	Professional		$1,548.82	$4,897.79	$5,623.41
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $2,511.89 / $8,709.64	Facility		$1,202.26	$2,511.89	$8,709.64
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,884.03 / $3,715.35	Professional		$2,187.76	$2,884.03	$3,715.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $2,630.27 / $15,135.61	Facility		$1,202.26	$2,630.27	$15,135.61
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $2,187.76 / $9,332.54	Professional		$1,258.93	$2,187.76	$9,332.54
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 $1,778.28 / $2,691.53 / $4,168.69	Professional		$1,778.28	$2,691.53	$4,168.69
Quartz Facility/Professional Facility Modifier Low / Median / High Price $32,359.37 / $47,863.01 / $47,863.01	Facility		$32,359.37	$47,863.01	$47,863.01
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $5,754.40 / $9,332.54	Professional		$2,137.96	$5,754.40	$9,332.54
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,890.45 / $3,890.45 / $3,890.45	Professional		$3,890.45	$3,890.45	$3,890.45
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,890.45 / $6,760.83 / $7,762.47	Professional		$3,890.45	$6,760.83	$7,762.47
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 $1,202.26 / $1,819.70 / $5,011.87	Professional		$1,202.26	$1,819.70	$5,011.87