Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $3,630.78 / $14,454.40	Facility		$1,995.26	$3,630.78	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $1,949.84 / $3,715.35	Professional		$1,659.59	$1,949.84	$3,715.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $8,128.31 / $13,489.63	Facility		$5,011.87	$8,128.31	$13,489.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $3,388.44 / $8,709.64	Professional		$1,778.28	$3,388.44	$8,709.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $5,370.32 / $8,511.38	Facility		$4,570.88	$5,370.32	$8,511.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $3,981.07 / $7,413.10	Professional		$1,862.09	$3,981.07	$7,413.10
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $2,344.23 / $8,128.31	Facility		$1,659.59	$2,344.23	$8,128.31
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $3,090.30 / $3,890.45 / $6,165.95	Professional		$3,090.30	$3,890.45	$6,165.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $2,454.71 / $5,754.40	Facility		$1,737.80	$2,454.71	$5,754.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $3,235.94 / $13,489.63	Professional		$1,862.09	$3,235.94	$13,489.63
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 $2,137.96 / $3,890.45 / $6,025.60	Professional		$2,137.96	$3,890.45	$6,025.60
Quartz Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $16,218.10 / $16,218.10	Facility		$4,570.88	$16,218.10	$16,218.10
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $8,912.51 / $13,182.57	Professional		$1,862.09	$8,912.51	$13,182.57
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,606.93 / $6,606.93 / $6,606.93	Professional		$6,606.93	$6,606.93	$6,606.93
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,623.41 / $7,079.46 / $8,912.51	Professional		$5,623.41	$7,079.46	$8,912.51
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 $1,737.80 / $2,570.40 / $6,918.31	Professional		$1,737.80	$2,570.40	$6,918.31