Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $2,630.27 / $14,454.40	Facility		$1,412.54	$2,630.27	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,445.44 / $2,630.27	Professional		$1,202.26	$1,445.44	$2,630.27
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 $1,258.93 / $2,398.83 / $6,309.57	Professional		$1,258.93	$2,398.83	$6,309.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $3,801.89 / $6,165.95	Facility		$3,311.31	$3,801.89	$6,165.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $2,884.03 / $5,370.32	Professional		$1,348.96	$2,884.03	$5,370.32
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,737.80 / $8,128.31	Facility		$1,230.27	$1,737.80	$8,128.31
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $2,754.23 / $4,265.80	Professional		$2,238.72	$2,754.23	$4,265.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,737.80 / $5,754.40	Facility		$1,288.25	$1,737.80	$5,754.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $2,238.72 / $9,549.93	Professional		$1,288.25	$2,238.72	$9,549.93
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 $1,621.81 / $2,951.21 / $4,570.88	Professional		$1,621.81	$2,951.21	$4,570.88
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $12,022.64 / $12,022.64	Facility		$3,311.31	$12,022.64	$12,022.64
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $6,309.57 / $9,332.54	Professional		$1,348.96	$6,309.57	$9,332.54
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,677.35 / $4,677.35 / $4,677.35	Professional		$4,677.35	$4,677.35	$4,677.35
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,981.07 / $5,011.87 / $6,456.54	Professional		$3,981.07	$5,011.87	$6,456.54
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 $1,258.93 / $1,819.70 / $4,897.79	Professional		$1,258.93	$1,819.70	$4,897.79