Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $2,630.27 / $14,454.40	Facility		$1,445.44	$2,630.27	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,445.44 / $2,630.27	Professional		$1,230.27	$1,445.44	$2,630.27
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 $1,288.25 / $2,454.71 / $6,309.57	Professional		$1,288.25	$2,454.71	$6,309.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $3,890.45 / $6,165.95	Facility		$3,311.31	$3,890.45	$6,165.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $2,951.21 / $5,370.32	Professional		$1,380.38	$2,951.21	$5,370.32
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,737.80 / $8,128.31	Facility		$1,258.93	$1,737.80	$8,128.31
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $2,818.38 / $4,466.84	Professional		$2,238.72	$2,818.38	$4,466.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,737.80 / $5,754.40	Facility		$1,288.25	$1,737.80	$5,754.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $2,238.72 / $9,772.37	Professional		$1,288.25	$2,238.72	$9,772.37
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 $1,659.59 / $3,019.95 / $4,677.35	Professional		$1,659.59	$3,019.95	$4,677.35
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $12,302.69 / $12,302.69	Facility		$3,311.31	$12,302.69	$12,302.69
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $6,309.57 / $9,549.93	Professional		$1,348.96	$6,309.57	$9,549.93
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,786.30 / $4,786.30 / $4,786.30	Professional		$4,786.30	$4,786.30	$4,786.30
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $5,011.87 / $6,456.54	Professional		$2,951.21	$5,011.87	$6,456.54
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 $1,288.25 / $1,862.09 / $4,897.79	Professional		$1,288.25	$1,862.09	$4,897.79