Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $2,570.40 / $14,454.40	Facility		$1,513.56	$2,570.40	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,445.44 / $3,090.30	Professional		$1,174.90	$1,445.44	$3,090.30
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 / $2,454.71 / $6,456.54	Professional		$1,148.15	$2,454.71	$6,456.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $3,801.89 / $6,165.95	Facility		$3,311.31	$3,801.89	$6,165.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $3,890.45 / $4,466.84	Professional		$1,698.24	$3,890.45	$4,466.84
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $4,677.35 / $8,912.51	Facility		$1,445.44	$4,677.35	$8,912.51
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $3,090.30 / $3,801.89	Professional		$2,238.72	$3,090.30	$3,801.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $7,585.78 / $15,848.93	Facility		$1,380.38	$7,585.78	$15,848.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $2,290.87 / $9,332.54	Professional		$1,230.27	$2,290.87	$9,332.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,698.24	Professional		$32.36	$33.11	$1,698.24
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $2,818.38 / $4,786.30	Professional		$1,445.44	$2,818.38	$4,786.30
Quartz Facility/Professional Facility Modifier Low / Median / High Price $14,454.40 / $21,379.62 / $21,379.62	Facility		$14,454.40	$21,379.62	$21,379.62
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $5,888.44 / $8,912.51	Professional		$1,698.24	$5,888.44	$8,912.51
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,090.30 / $3,090.30 / $3,090.30	Professional		$3,090.30	$3,090.30	$3,090.30
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,388.44 / $6,760.83 / $7,413.10	Professional		$3,388.44	$6,760.83	$7,413.10
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 $1,122.02 / $2,041.74 / $5,128.61	Professional		$1,122.02	$2,041.74	$5,128.61