Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $5,754.40 / $13,489.63	Facility		$1,778.28	$5,754.40	$13,489.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,412.54 / $2,884.03	Professional		$1,096.48	$1,412.54	$2,884.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $10,964.78 / $18,197.01	Facility		$6,606.93	$10,964.78	$18,197.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $2,290.87 / $5,623.41	Professional		$1,148.15	$2,290.87	$5,623.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $3,630.78 / $5,754.40	Facility		$3,090.30	$3,630.78	$5,754.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $3,162.28 / $4,365.16	Professional		$1,412.54	$3,162.28	$4,365.16
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $6,025.60 / $13,182.57	Facility		$1,288.25	$6,025.60	$13,182.57
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,951.21 / $3,467.37	Professional		$2,187.76	$2,951.21	$3,467.37
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $7,244.36 / $15,848.93	Facility		$1,288.25	$7,244.36	$15,848.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $2,290.87 / $8,709.64	Professional		$1,202.26	$2,290.87	$8,709.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $85.11	Professional		$32.36	$33.11	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $2,344.23 / $3,630.78	Professional		$1,096.48	$2,344.23	$3,630.78
Quartz Facility/Professional Facility Modifier Low / Median / High Price $8,128.31 / $11,748.98 / $11,748.98	Facility		$8,128.31	$11,748.98	$11,748.98
Quartz Facility/Professional Facility Modifier 54 Low / Median / High Price $5,623.41 / $8,317.64 / $8,317.64	Facility	54	$5,623.41	$8,317.64	$8,317.64
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $5,754.40 / $8,511.38	Professional		$1,202.26	$5,754.40	$8,511.38
Security Health Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $6,606.93 / $6,606.93	Facility		$6,606.93	$6,606.93	$6,606.93
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $10,471.29 / $11,481.54	Professional		$2,951.21	$10,471.29	$11,481.54
United Facility/Professional Facility Modifier Low / Median / High Price $7,585.78 / $12,022.64 / $16,218.10	Facility		$7,585.78	$12,022.64	$16,218.10
United Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,995.26 / $5,011.87	Professional		$1,071.52	$1,995.26	$5,011.87