Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $8,511.38 / $9,332.54	Facility		$1,621.81	$8,511.38	$9,332.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,548.82 / $3,311.31	Professional		$1,174.90	$1,548.82	$3,311.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $10,964.78 / $18,197.01	Facility		$6,606.93	$10,964.78	$18,197.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $2,630.27 / $6,606.93	Professional		$1,148.15	$2,630.27	$6,606.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $4,168.69 / $6,606.93	Facility		$3,548.13	$4,168.69	$6,606.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $4,168.69 / $4,786.30	Professional		$1,819.70	$4,168.69	$4,786.30
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $5,128.61 / $9,549.93	Facility		$1,445.44	$5,128.61	$9,549.93
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $3,311.31 / $3,890.45	Professional		$2,398.83	$3,311.31	$3,890.45
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $7,585.78 / $15,848.93	Facility		$1,445.44	$7,585.78	$15,848.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $2,137.96 / $10,000.00	Professional		$1,258.93	$2,137.96	$10,000.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,513.56	Professional		$32.36	$33.11	$1,513.56
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $3,235.94 / $4,570.88	Professional		$1,659.59	$3,235.94	$4,570.88
Quartz Facility/Professional Facility Modifier Low / Median / High Price $11,220.18 / $16,595.87 / $16,595.87	Facility		$11,220.18	$16,595.87	$16,595.87
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $6,309.57 / $9,549.93	Professional		$1,819.70	$6,309.57	$9,549.93
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,311.31 / $3,311.31 / $3,311.31	Professional		$3,311.31	$3,311.31	$3,311.31
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $7,413.10 / $7,943.28	Professional		$2,754.23	$7,413.10	$7,943.28
United Facility/Professional Facility Modifier Low / Median / High Price $7,585.78 / $12,302.69 / $16,218.10	Facility		$7,585.78	$12,302.69	$16,218.10
United Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,995.26 / $5,495.41	Professional		$1,202.26	$1,995.26	$5,495.41