Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $3,311.31 / $14,454.40	Facility		$1,513.56	$3,311.31	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,584.89 / $4,073.80	Professional		$1,445.44	$1,584.89	$4,073.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $10,964.78 / $19,054.61	Facility		$6,606.93	$10,964.78	$19,054.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $3,162.28 / $7,413.10	Professional		$1,584.89	$3,162.28	$7,413.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $5,011.87 / $7,943.28	Facility		$4,265.80	$5,011.87	$7,943.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $4,786.30 / $5,370.32	Professional		$2,290.87	$4,786.30	$5,370.32
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $6,918.31 / $13,489.63	Facility		$1,621.81	$6,918.31	$13,489.63
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $3,981.07 / $5,011.87	Professional		$2,884.03	$3,981.07	$5,011.87
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $3,162.28 / $7,943.28	Facility		$1,621.81	$3,162.28	$7,943.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,754.23 / $12,022.64	Professional		$1,659.59	$2,754.23	$12,022.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $2,238.72	Professional		$32.36	$33.11	$2,238.72
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $3,630.78 / $5,495.41	Professional		$1,862.09	$3,630.78	$5,495.41
Quartz Facility/Professional Facility Modifier Low / Median / High Price $4,168.69 / $12,882.50 / $12,882.50	Facility		$4,168.69	$12,882.50	$12,882.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $7,762.47 / $11,748.98	Professional		$2,187.76	$7,762.47	$11,748.98
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,466.84 / $4,466.84 / $4,466.84	Professional		$4,466.84	$4,466.84	$4,466.84
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,011.87 / $7,585.78 / $9,120.11	Professional		$5,011.87	$7,585.78	$9,120.11
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 $1,548.82 / $2,454.71 / $6,918.31	Professional		$1,548.82	$2,454.71	$6,918.31