Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $2,398.83 / $14,454.40	Facility		$1,445.44	$2,398.83	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,380.38 / $2,951.21	Professional		$1,047.13	$1,380.38	$2,951.21
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 $1,096.48 / $2,290.87 / $5,370.32	Professional		$1,096.48	$2,290.87	$5,370.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $3,630.78 / $5,754.40	Facility		$3,090.30	$3,630.78	$5,754.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $3,715.35 / $4,168.69	Professional		$1,584.89	$3,715.35	$4,168.69
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $4,677.35 / $8,912.51	Facility		$1,380.38	$4,677.35	$8,912.51
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,884.03 / $3,548.13	Professional		$2,089.30	$2,884.03	$3,548.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $7,585.78 / $15,848.93	Facility		$1,288.25	$7,585.78	$15,848.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,949.84 / $8,709.64	Professional		$1,122.02	$1,949.84	$8,709.64
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 $1,380.38 / $2,691.53 / $4,265.80	Professional		$1,380.38	$2,691.53	$4,265.80
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 $1,584.89 / $5,495.41 / $8,511.38	Professional		$1,584.89	$5,495.41	$8,511.38
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $2,884.03 / $2,884.03	Professional		$2,884.03	$2,884.03	$2,884.03
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $6,456.54 / $7,079.46	Professional		$2,511.89	$6,456.54	$7,079.46
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 $1,047.13 / $1,737.80 / $4,786.30	Professional		$1,047.13	$1,737.80	$4,786.30