Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $2,951.21 / $14,454.40	Facility		$1,584.89	$2,951.21	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,659.59 / $3,090.30	Professional		$1,412.54	$1,659.59	$3,090.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,120.11 / $12,882.50 / $20,892.96	Facility		$9,120.11	$12,882.50	$20,892.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $2,754.23 / $7,079.46	Professional		$1,445.44	$2,754.23	$7,079.46
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 $1,584.89 / $3,388.44 / $6,025.60	Professional		$1,584.89	$3,388.44	$6,025.60
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $1,995.26 / $8,912.51	Facility		$1,479.11	$1,995.26	$8,912.51
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $3,162.28 / $5,128.61	Professional		$2,511.89	$3,162.28	$5,128.61
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $2,041.74 / $6,165.95	Facility		$1,479.11	$2,041.74	$6,165.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $2,691.53 / $10,964.78	Professional		$1,584.89	$2,691.53	$10,964.78
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 $1,905.46 / $3,388.44 / $5,248.07	Professional		$1,905.46	$3,388.44	$5,248.07
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $3,715.35 / $22,387.21	Facility		$3,715.35	$3,715.35	$22,387.21
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $5,128.61 / $10,715.19	Professional		$1,513.56	$5,128.61	$10,715.19
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,370.32 / $5,370.32 / $5,370.32	Professional		$5,370.32	$5,370.32	$5,370.32
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,786.30 / $6,025.60 / $7,244.36	Professional		$4,786.30	$6,025.60	$7,244.36
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 $1,479.11 / $2,290.87 / $5,754.40	Professional		$1,479.11	$2,290.87	$5,754.40