Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $2,344.23 / $14,454.40	Facility		$1,047.13	$2,344.23	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,202.26 / $2,951.21	Professional		$1,023.29	$1,202.26	$2,951.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $8,317.64 / $13,182.57	Facility		$5,011.87	$8,317.64	$13,182.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $2,187.76 / $5,495.41	Professional		$1,096.48	$2,187.76	$5,495.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $3,467.37 / $5,495.41	Facility		$2,951.21	$3,467.37	$5,495.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $4,570.88 / $5,248.07	Professional		$1,445.44	$4,570.88	$5,248.07
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $2,290.87 / $4,265.80	Facility		$1,047.13	$2,290.87	$4,265.80
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,691.53 / $3,548.13	Professional		$2,041.74	$2,691.53	$3,548.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $2,344.23 / $11,220.18	Facility		$1,071.52	$2,344.23	$11,220.18
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,949.84 / $8,709.64	Professional		$1,122.02	$1,949.84	$8,709.64
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 $1,905.46 / $2,884.03 / $4,466.84	Professional		$1,905.46	$2,884.03	$4,466.84
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $6,025.60 / $9,549.93	Facility		$3,235.94	$6,025.60	$9,549.93
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $5,370.32 / $8,511.38	Professional		$1,995.26	$5,370.32	$8,511.38
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,630.78 / $3,630.78 / $3,630.78	Professional		$3,630.78	$3,630.78	$3,630.78
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $6,165.95 / $7,244.36	Professional		$3,162.28	$6,165.95	$7,244.36
United Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $10,232.93 / $12,589.25	Facility		$6,606.93	$10,232.93	$12,589.25
United Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,698.24 / $4,677.35	Professional		$1,122.02	$1,698.24	$4,677.35