Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $2,884.03 / $14,454.40	Facility		$1,778.28	$2,884.03	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,778.28 / $3,630.78	Professional		$1,318.26	$1,778.28	$3,630.78
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 $1,412.54 / $2,691.53 / $7,943.28	Professional		$1,412.54	$2,691.53	$7,943.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $4,168.69 / $6,606.93	Facility		$3,548.13	$4,168.69	$6,606.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $4,365.16 / $5,623.41	Professional		$2,344.23	$4,365.16	$5,623.41
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $7,244.36 / $13,489.63	Facility		$1,778.28	$7,244.36	$13,489.63
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $3,715.35 / $4,265.80	Professional		$2,951.21	$3,715.35	$4,265.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $3,162.28 / $7,943.28	Facility		$1,621.81	$3,162.28	$7,943.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $3,019.95 / $10,715.19	Professional		$1,778.28	$3,019.95	$10,715.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $2,089.30	Professional		$32.36	$33.11	$2,089.30
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $3,548.13 / $6,025.60	Professional		$2,511.89	$3,548.13	$6,025.60
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $26,302.68 / $26,302.68	Facility		$3,630.78	$26,302.68	$26,302.68
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $7,079.46 / $10,471.29	Professional		$2,398.83	$7,079.46	$10,471.29
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7,244.36 / $7,244.36 / $7,244.36	Professional		$7,244.36	$7,244.36	$7,244.36
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,760.83 / $9,772.37 / $9,772.37	Professional		$6,760.83	$9,772.37	$9,772.37
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 $1,698.24 / $2,884.03 / $6,456.54	Professional		$1,698.24	$2,884.03	$6,456.54