Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $2,691.53 / $14,454.40	Facility		$1,445.44	$2,691.53	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,479.11 / $2,691.53	Professional		$1,288.25	$1,479.11	$2,691.53
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 $1,318.26 / $2,511.89 / $6,456.54	Professional		$1,318.26	$2,511.89	$6,456.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $3,981.07 / $6,309.57	Facility		$3,388.44	$3,981.07	$6,309.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $3,019.95 / $5,495.41	Professional		$1,445.44	$3,019.95	$5,495.41
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,819.70 / $8,128.31	Facility		$1,318.26	$1,819.70	$8,128.31
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $2,884.03 / $4,570.88	Professional		$2,290.87	$2,884.03	$4,570.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,862.09 / $5,754.40	Facility		$1,348.96	$1,862.09	$5,754.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $2,454.71 / $11,220.18	Professional		$1,412.54	$2,454.71	$11,220.18
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 $1,737.80 / $3,162.28 / $4,897.79	Professional		$1,737.80	$3,162.28	$4,897.79
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $25,118.86 / $25,118.86	Facility		$3,388.44	$25,118.86	$25,118.86
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $6,606.93 / $11,220.18	Professional		$1,412.54	$6,606.93	$11,220.18
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,897.79 / $4,897.79 / $4,897.79	Professional		$4,897.79	$4,897.79	$4,897.79
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,265.80 / $5,370.32 / $6,606.93	Professional		$4,265.80	$5,370.32	$6,606.93
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 $1,318.26 / $1,949.84 / $5,128.61	Professional		$1,318.26	$1,949.84	$5,128.61