Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $8,128.31 / $9,332.54	Facility		$1,698.24	$8,128.31	$9,332.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,380.38 / $2,630.27	Professional		$1,096.48	$1,380.38	$2,630.27
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 $1,122.02 / $2,187.76 / $5,888.44	Professional		$1,122.02	$2,187.76	$5,888.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $3,548.13 / $5,623.41	Facility		$3,019.95	$3,548.13	$5,623.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $3,019.95 / $5,623.41	Professional		$1,380.38	$3,019.95	$5,623.41
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $4,365.16 / $9,549.93	Facility		$1,258.93	$4,365.16	$9,549.93
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,818.38 / $3,388.44	Professional		$2,089.30	$2,818.38	$3,388.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $7,244.36 / $15,848.93	Facility		$1,258.93	$7,244.36	$15,848.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $2,290.87 / $9,549.93	Professional		$1,174.90	$2,290.87	$9,549.93
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 $1,071.52 / $2,238.72 / $3,467.37	Professional		$1,071.52	$2,238.72	$3,467.37
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 Professional Modifier Low / Median / High Price $1,230.27 / $5,623.41 / $9,549.93	Professional		$1,230.27	$5,623.41	$9,549.93
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 $2,630.27 / $10,964.78 / $10,964.78	Professional		$2,630.27	$10,964.78	$10,964.78
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 $1,096.48 / $1,905.46 / $4,897.79	Professional		$1,096.48	$1,905.46	$4,897.79