Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $2,344.23 / $14,454.40	Facility		$1,071.52	$2,344.23	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,148.15 / $2,884.03	Professional		$1,000.00	$1,148.15	$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 $1,122.02 / $2,238.72 / $5,248.07	Professional		$1,122.02	$2,238.72	$5,248.07
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 $1,584.89 / $3,388.44 / $3,890.45	Professional		$1,584.89	$3,388.44	$3,890.45
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $5,128.61 / $9,549.93	Facility		$1,258.93	$5,128.61	$9,549.93
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,818.38 / $3,548.13	Professional		$2,041.74	$2,818.38	$3,548.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $7,585.78 / $15,848.93	Facility		$1,258.93	$7,585.78	$15,848.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,995.26 / $9,549.93	Professional		$1,174.90	$1,995.26	$9,549.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,584.89	Professional		$32.36	$33.11	$1,584.89
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $2,570.40 / $3,890.45	Professional		$1,318.26	$2,570.40	$3,890.45
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 $1,584.89 / $5,623.41 / $9,549.93	Professional		$1,584.89	$5,623.41	$9,549.93
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,235.94 / $3,235.94 / $3,235.94	Professional		$3,235.94	$3,235.94	$3,235.94
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,548.13 / $5,495.41 / $6,456.54	Professional		$3,548.13	$5,495.41	$6,456.54
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 $1,071.52 / $1,778.28 / $4,897.79	Professional		$1,071.52	$1,778.28	$4,897.79