Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $2,630.27 / $14,454.40	Facility		$1,621.81	$2,630.27	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,621.81 / $3,311.31	Professional		$1,230.27	$1,621.81	$3,311.31
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 $1,288.25 / $2,454.71 / $7,244.36	Professional		$1,288.25	$2,454.71	$7,244.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $3,801.89 / $6,165.95	Facility		$3,235.94	$3,801.89	$6,165.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $4,073.80 / $5,128.61	Professional		$2,137.96	$4,073.80	$5,128.61
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $7,244.36 / $13,489.63	Facility		$1,513.56	$7,244.36	$13,489.63
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $3,388.44 / $3,981.07	Professional		$2,754.23	$3,388.44	$3,981.07
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $2,884.03 / $9,549.93	Facility		$1,513.56	$2,884.03	$9,549.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,818.38 / $9,772.37	Professional		$1,621.81	$2,818.38	$9,772.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,905.46	Professional		$32.36	$33.11	$1,905.46
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $3,235.94 / $5,495.41	Professional		$2,290.87	$3,235.94	$5,495.41
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $13,803.84 / $13,803.84	Facility		$3,311.31	$13,803.84	$13,803.84
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $6,456.54 / $9,549.93	Professional		$2,238.72	$6,456.54	$9,549.93
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,760.83 / $6,760.83 / $6,760.83	Professional		$6,760.83	$6,760.83	$6,760.83
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,165.95 / $8,912.51 / $8,912.51	Professional		$6,165.95	$8,912.51	$8,912.51
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 $1,548.82 / $2,630.27 / $5,888.44	Professional		$1,548.82	$2,630.27	$5,888.44