Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $2,511.89 / $14,454.40	Facility		$1,202.26	$2,511.89	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,258.93 / $3,235.94	Professional		$1,122.02	$1,258.93	$3,235.94
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 $1,230.27 / $2,511.89 / $6,025.60	Professional		$1,230.27	$2,511.89	$6,025.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $3,715.35 / $5,888.44	Facility		$3,162.28	$3,715.35	$5,888.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $5,011.87 / $5,623.41	Professional		$1,548.82	$5,011.87	$5,623.41
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $2,511.89 / $10,232.93	Facility		$1,202.26	$2,511.89	$10,232.93
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,951.21 / $3,801.89	Professional		$2,187.76	$2,951.21	$3,801.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $2,630.27 / $15,135.61	Facility		$1,230.27	$2,630.27	$15,135.61
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $2,137.96 / $14,791.08	Professional		$1,202.26	$2,137.96	$14,791.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $70.79	Professional		$32.36	$33.11	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,691.53 / $4,073.80	Professional		$1,778.28	$2,691.53	$4,073.80
Quartz Facility/Professional Facility Modifier Low / Median / High Price $9,120.11 / $13,803.84 / $13,803.84	Facility		$9,120.11	$13,803.84	$13,803.84
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $7,413.10 / $14,791.08	Professional		$2,187.76	$7,413.10	$14,791.08
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,981.07 / $3,981.07 / $3,981.07	Professional		$3,981.07	$3,981.07	$3,981.07
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,981.07 / $7,762.47 / $8,511.38	Professional		$3,981.07	$7,762.47	$8,511.38
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 $1,202.26 / $1,819.70 / $5,011.87	Professional		$1,202.26	$1,819.70	$5,011.87