Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $3,235.94 / $14,454.40	Facility		$1,479.11	$3,235.94	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,548.82 / $5,370.32	Professional		$1,348.96	$1,548.82	$5,370.32
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 $1,479.11 / $3,019.95 / $7,079.46	Professional		$1,479.11	$3,019.95	$7,079.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,168.69 / $4,786.30 / $7,762.47	Facility		$4,168.69	$4,786.30	$7,762.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $4,570.88 / $5,248.07	Professional		$2,137.96	$4,570.88	$5,248.07
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $6,918.31 / $13,182.57	Facility		$1,479.11	$6,918.31	$13,182.57
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $3,890.45 / $4,786.30	Professional		$2,754.23	$3,890.45	$4,786.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $7,585.78 / $15,848.93	Facility		$1,479.11	$7,585.78	$15,848.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,570.40 / $11,481.54	Professional		$1,513.56	$2,570.40	$11,481.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $2,089.30	Professional		$32.36	$33.11	$2,089.30
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $3,630.78 / $5,011.87	Professional		$1,862.09	$3,630.78	$5,011.87
Quartz Facility/Professional Facility Modifier Low / Median / High Price $11,220.18 / $16,595.87 / $16,595.87	Facility		$11,220.18	$16,595.87	$16,595.87
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $7,413.10 / $11,220.18	Professional		$2,137.96	$7,413.10	$11,220.18
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,365.16 / $4,365.16 / $4,365.16	Professional		$4,365.16	$4,365.16	$4,365.16
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $7,413.10 / $8,912.51	Professional		$2,818.38	$7,413.10	$8,912.51
United Facility/Professional Facility Modifier Low / Median / High Price $7,585.78 / $12,302.69 / $16,218.10	Facility		$7,585.78	$12,302.69	$16,218.10
United Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $2,290.87 / $6,456.54	Professional		$1,412.54	$2,290.87	$6,456.54