Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $3,019.95 / $14,454.40	Facility		$1,862.09	$3,019.95	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,862.09 / $3,801.89	Professional		$1,412.54	$1,862.09	$3,801.89
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 $1,479.11 / $2,818.38 / $8,317.64	Professional		$1,479.11	$2,818.38	$8,317.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $4,365.16 / $6,918.31	Facility		$3,715.35	$4,365.16	$6,918.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $4,570.88 / $5,888.44	Professional		$2,398.83	$4,570.88	$5,888.44
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $7,244.36 / $13,489.63	Facility		$1,698.24	$7,244.36	$13,489.63
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $3,090.30 / $3,890.45 / $4,466.84	Professional		$3,090.30	$3,890.45	$4,466.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $3,311.31 / $9,549.93	Facility		$1,698.24	$3,311.31	$9,549.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $3,162.28 / $11,220.18	Professional		$1,862.09	$3,162.28	$11,220.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $2,187.76	Professional		$32.36	$33.11	$2,187.76
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $3,715.35 / $6,309.57	Professional		$2,630.27	$3,715.35	$6,309.57
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $27,542.29 / $27,542.29	Facility		$3,801.89	$27,542.29	$27,542.29
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $7,413.10 / $10,964.78	Professional		$2,511.89	$7,413.10	$10,964.78
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7,585.78 / $7,585.78 / $7,585.78	Professional		$7,585.78	$7,585.78	$7,585.78
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7,079.46 / $10,232.93 / $10,232.93	Professional		$7,079.46	$10,232.93	$10,232.93
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 $1,778.28 / $3,019.95 / $6,760.83	Professional		$1,778.28	$3,019.95	$6,760.83