Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $3,090.30 / $14,454.40	Facility		$1,905.46	$3,090.30	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,905.46 / $3,890.45	Professional		$1,445.44	$1,905.46	$3,890.45
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 $1,513.56 / $2,884.03 / $8,709.64	Professional		$1,513.56	$2,884.03	$8,709.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $4,466.84 / $7,079.46	Facility		$3,801.89	$4,466.84	$7,079.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $4,786.30 / $6,025.60	Professional		$2,454.71	$4,786.30	$6,025.60
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $7,244.36 / $13,489.63	Facility		$1,737.80	$7,244.36	$13,489.63
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $3,981.07 / $4,570.88	Professional		$3,162.28	$3,981.07	$4,570.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $3,388.44 / $9,549.93	Facility		$1,698.24	$3,388.44	$9,549.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $3,467.37 / $11,481.54	Professional		$1,949.84	$3,467.37	$11,481.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $2,454.71	Professional		$32.36	$33.11	$2,454.71
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $3,801.89 / $6,456.54	Professional		$2,691.53	$3,801.89	$6,456.54
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $28,840.32 / $28,840.32	Facility		$3,890.45	$28,840.32	$28,840.32
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $7,585.78 / $11,220.18	Professional		$2,570.40	$7,585.78	$11,220.18
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7,762.47 / $7,762.47 / $7,762.47	Professional		$7,762.47	$7,762.47	$7,762.47
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7,762.47 / $10,471.29 / $10,471.29	Professional		$7,762.47	$10,471.29	$10,471.29
United Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $6,165.95 / $19,498.45	Facility		$2,290.87	$6,165.95	$19,498.45
United Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $3,162.28 / $6,918.31	Professional		$1,819.70	$3,162.28	$6,918.31