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 / $2,951.21	Professional		$1,412.54	$1,659.59	$2,951.21
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 $1,412.54 / $2,754.23 / $7,079.46	Professional		$1,412.54	$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 $1,548.82 / $3,311.31 / $6,025.60	Professional		$1,548.82	$3,311.31	$6,025.60
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,905.46 / $8,128.31	Facility		$1,412.54	$1,905.46	$8,128.31
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $3,162.28 / $4,786.30	Professional		$2,511.89	$3,162.28	$4,786.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $1,995.26 / $14,125.38	Facility		$1,445.44	$1,995.26	$14,125.38
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $2,630.27 / $10,964.78	Professional		$1,479.11	$2,630.27	$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 $1,862.09 / $3,311.31 / $5,128.61	Professional		$1,862.09	$3,311.31	$5,128.61
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $27,542.29 / $27,542.29	Facility		$3,715.35	$27,542.29	$27,542.29
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $7,079.46 / $10,715.19	Professional		$1,548.82	$7,079.46	$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 $4,570.88 / $5,754.40 / $7,244.36	Professional		$4,570.88	$5,754.40	$7,244.36
United Facility/Professional Facility Modifier Low / Median / High Price $7,079.46 / $13,489.63 / $17,378.01	Facility		$7,079.46	$13,489.63	$17,378.01
United Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $2,089.30 / $5,495.41	Professional		$1,412.54	$2,089.30	$5,495.41