Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $2,951.21 / $14,454.40	Facility		$1,318.26	$2,951.21	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,584.89 / $3,801.89	Professional		$1,288.25	$1,584.89	$3,801.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $10,964.78 / $17,378.01	Facility		$6,606.93	$10,964.78	$17,378.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $2,754.23 / $6,606.93	Professional		$1,412.54	$2,754.23	$6,606.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $4,265.80 / $6,918.31	Facility		$3,715.35	$4,265.80	$6,918.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $5,623.41 / $6,309.57	Professional		$2,041.74	$5,623.41	$6,309.57
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $2,344.23 / $5,495.41	Facility		$1,318.26	$2,344.23	$5,495.41
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $3,388.44 / $4,365.16	Professional		$2,570.40	$3,388.44	$4,365.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $2,884.03 / $11,220.18	Facility		$1,348.96	$2,884.03	$11,220.18
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $2,398.83 / $10,715.19	Professional		$1,412.54	$2,398.83	$10,715.19
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 $2,398.83 / $3,630.78 / $5,495.41	Professional		$2,398.83	$3,630.78	$5,495.41
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $3,630.78 / $10,232.93	Facility		$1,905.46	$3,630.78	$10,232.93
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $6,760.83 / $10,715.19	Professional		$2,691.53	$6,760.83	$10,715.19
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,897.79 / $4,897.79 / $4,897.79	Professional		$4,897.79	$4,897.79	$4,897.79
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,981.07 / $8,128.31 / $9,120.11	Professional		$3,981.07	$8,128.31	$9,120.11
United Facility/Professional Facility Modifier Low / Median / High Price $6,309.57 / $10,232.93 / $12,589.25	Facility		$6,309.57	$10,232.93	$12,589.25
United Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $2,089.30 / $5,888.44	Professional		$1,412.54	$2,089.30	$5,888.44