Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $3,548.13 / $14,454.40	Facility		$1,905.46	$3,548.13	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,949.84 / $3,548.13	Professional		$1,621.81	$1,949.84	$3,548.13
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 $1,698.24 / $3,235.94 / $8,511.38	Professional		$1,698.24	$3,235.94	$8,511.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $5,128.61 / $8,317.64	Facility		$4,466.84	$5,128.61	$8,317.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $3,890.45 / $7,244.36	Professional		$1,862.09	$3,890.45	$7,244.36
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $2,344.23 / $8,511.38	Facility		$1,659.59	$2,344.23	$8,511.38
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $3,715.35 / $6,025.60	Professional		$3,019.95	$3,715.35	$6,025.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $2,398.83 / $5,754.40	Facility		$1,737.80	$2,398.83	$5,754.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $3,019.95 / $13,182.57	Professional		$1,737.80	$3,019.95	$13,182.57
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 $2,187.76 / $3,981.07 / $6,165.95	Professional		$2,187.76	$3,981.07	$6,165.95
Quartz Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $16,218.10 / $16,218.10	Facility		$4,466.84	$16,218.10	$16,218.10
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $8,511.38 / $12,882.50	Professional		$1,819.70	$8,511.38	$12,882.50
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,309.57 / $6,309.57 / $6,309.57	Professional		$6,309.57	$6,309.57	$6,309.57
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,370.32 / $6,760.83 / $8,709.64	Professional		$5,370.32	$6,760.83	$8,709.64
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 $1,698.24 / $2,454.71 / $6,606.93	Professional		$1,698.24	$2,454.71	$6,606.93