Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $3,235.94 / $14,454.40	Facility		$1,445.44	$3,235.94	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,698.24 / $3,235.94	Professional		$1,445.44	$1,698.24	$3,235.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,748.98 / $16,218.10 / $27,542.29	Facility		$11,748.98	$16,218.10	$27,542.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $3,019.95 / $8,128.31	Professional		$1,513.56	$3,019.95	$8,128.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $4,786.30 / $7,585.78	Facility		$4,073.80	$4,786.30	$7,585.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $6,165.95 / $7,079.46	Professional		$2,570.40	$6,165.95	$7,079.46
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $7,244.36 / $13,489.63	Facility		$1,698.24	$7,244.36	$13,489.63
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $3,890.45 / $4,897.79	Professional		$2,818.38	$3,890.45	$4,897.79
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $3,388.44 / $7,943.28	Facility		$1,584.89	$3,388.44	$7,943.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $2,511.89 / $12,022.64	Professional		$1,479.11	$2,511.89	$12,022.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,659.59	Professional		$32.36	$33.11	$1,659.59
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $4,265.80 / $6,760.83	Professional		$2,187.76	$4,265.80	$6,760.83
Quartz Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $22,908.68 / $22,908.68	Facility		$4,073.80	$22,908.68	$22,908.68
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $7,585.78 / $11,748.98	Professional		$2,884.03	$7,585.78	$11,748.98
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,495.41 / $5,495.41 / $5,495.41	Professional		$5,495.41	$5,495.41	$5,495.41
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,265.80 / $9,120.11 / $10,964.78	Professional		$4,265.80	$9,120.11	$10,964.78
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 $1,445.44 / $2,398.83 / $6,606.93	Professional		$1,445.44	$2,398.83	$6,606.93