Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $2,884.03 / $14,454.40	Facility		$1,288.25	$2,884.03	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,445.44 / $3,890.45	Professional		$1,258.93	$1,445.44	$3,890.45
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 $1,380.38 / $2,691.53 / $6,918.31	Professional		$1,380.38	$2,691.53	$6,918.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $4,265.80 / $6,760.83	Facility		$3,630.78	$4,265.80	$6,760.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $5,495.41 / $6,309.57	Professional		$2,041.74	$5,495.41	$6,309.57
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $2,290.87 / $5,495.41	Facility		$1,348.96	$2,290.87	$5,495.41
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $3,311.31 / $4,265.80	Professional		$2,511.89	$3,311.31	$4,265.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $2,818.38 / $15,135.61	Facility		$1,380.38	$2,818.38	$15,135.61
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $2,511.89 / $10,964.78	Professional		$1,445.44	$2,511.89	$10,964.78
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 $2,041.74 / $3,090.30 / $4,677.35	Professional		$2,041.74	$3,090.30	$4,677.35
Quartz Facility/Professional Facility Modifier Low / Median / High Price $6,309.57 / $11,748.98 / $17,378.01	Facility		$6,309.57	$11,748.98	$17,378.01
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $6,760.83 / $10,964.78	Professional		$2,630.27	$6,760.83	$10,964.78
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 $4,365.16 / $8,128.31 / $8,912.51	Professional		$4,365.16	$8,128.31	$8,912.51
United Facility/Professional Facility Modifier Low / Median / High Price $7,585.78 / $12,302.69 / $16,595.87	Facility		$7,585.78	$12,302.69	$16,595.87
United Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $2,137.96 / $5,754.40	Professional		$1,412.54	$2,137.96	$5,754.40