Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $3,162.28 / $14,454.40	Facility		$1,862.09	$3,162.28	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,778.28 / $3,162.28	Professional		$1,380.38	$1,778.28	$3,162.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $10,964.78 / $17,378.01	Facility		$6,606.93	$10,964.78	$17,378.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $3,019.95 / $7,413.10	Professional		$1,380.38	$3,019.95	$7,413.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $4,677.35 / $7,585.78	Facility		$4,073.80	$4,677.35	$7,585.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $4,786.30 / $5,495.41	Professional		$2,187.76	$4,786.30	$5,495.41
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $7,244.36 / $14,454.40	Facility		$1,819.70	$7,244.36	$14,454.40
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $3,801.89 / $4,677.35	Professional		$2,754.23	$3,801.89	$4,677.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $8,511.38 / $15,848.93	Facility		$1,698.24	$8,511.38	$15,848.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,570.40 / $7,079.46	Professional		$1,548.82	$2,570.40	$7,079.46
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 / $3,467.37 / $5,623.41	Professional		$1,778.28	$3,467.37	$5,623.41
Quartz Facility/Professional Facility Modifier Low / Median / High Price $11,220.18 / $11,220.18 / $16,595.87	Facility		$11,220.18	$11,220.18	$16,595.87
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $7,413.10 / $11,220.18	Professional		$2,089.30	$7,413.10	$11,220.18
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,715.35 / $3,715.35 / $3,715.35	Professional		$3,715.35	$3,715.35	$3,715.35
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,890.45 / $9,332.54 / $9,332.54	Professional		$3,890.45	$9,332.54	$9,332.54
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 $1,380.38 / $2,398.83 / $6,456.54	Professional		$1,380.38	$2,398.83	$6,456.54