Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $2,884.03 / $14,454.40	Facility		$1,548.82	$2,884.03	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,584.89 / $3,090.30	Professional		$1,348.96	$1,584.89	$3,090.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $10,964.78 / $19,054.61	Facility		$6,606.93	$10,964.78	$19,054.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $2,630.27 / $6,918.31	Professional		$1,380.38	$2,630.27	$6,918.31
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 $1,513.56 / $3,162.28 / $5,888.44	Professional		$1,513.56	$3,162.28	$5,888.44
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,949.84 / $8,128.31	Facility		$1,380.38	$1,949.84	$8,128.31
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $3,019.95 / $4,897.79	Professional		$2,398.83	$3,019.95	$4,897.79
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $2,089.30 / $5,754.40	Facility		$1,412.54	$2,089.30	$5,754.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,691.53 / $10,715.19	Professional		$1,513.56	$2,691.53	$10,715.19
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 $1,819.70 / $3,311.31 / $5,128.61	Professional		$1,819.70	$3,311.31	$5,128.61
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $26,302.68 / $26,302.68	Facility		$3,548.13	$26,302.68	$26,302.68
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $6,918.31 / $10,715.19	Professional		$1,513.56	$6,918.31	$10,715.19
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,128.61 / $5,128.61 / $5,128.61	Professional		$5,128.61	$5,128.61	$5,128.61
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,466.84 / $5,495.41 / $6,918.31	Professional		$4,466.84	$5,495.41	$6,918.31
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 $1,412.54 / $2,041.74 / $5,370.32	Professional		$1,412.54	$2,041.74	$5,370.32