Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $3,388.44 / $14,454.40	Facility		$1,621.81	$3,388.44	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,778.28 / $3,981.07	Professional		$1,513.56	$1,778.28	$3,981.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,128.61 / $8,317.64 / $16,218.10	Facility		$5,128.61	$8,317.64	$16,218.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $3,162.28 / $8,128.31	Professional		$1,584.89	$3,162.28	$8,128.31
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 $2,089.30 / $6,918.31 / $7,943.28	Professional		$2,089.30	$6,918.31	$7,943.28
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $3,388.44 / $10,471.29	Facility		$1,659.59	$3,388.44	$10,471.29
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $3,981.07 / $5,128.61	Professional		$2,951.21	$3,981.07	$5,128.61
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $3,388.44 / $15,135.61	Facility		$1,659.59	$3,388.44	$15,135.61
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $2,630.27 / $14,454.40	Professional		$1,584.89	$2,630.27	$14,454.40
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 $2,818.38 / $4,168.69 / $6,456.54	Professional		$2,818.38	$4,168.69	$6,456.54
Quartz Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $31,622.78 / $31,622.78	Facility		$4,265.80	$31,622.78	$31,622.78
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $7,943.28 / $14,454.40	Professional		$2,951.21	$7,943.28	$14,454.40
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,370.32 / $5,370.32 / $5,370.32	Professional		$5,370.32	$5,370.32	$5,370.32
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,365.16 / $9,120.11 / $10,471.29	Professional		$4,365.16	$9,120.11	$10,471.29
United Facility/Professional Facility Modifier Low / Median / High Price $8,912.51 / $13,803.84 / $17,782.79	Facility		$8,912.51	$13,803.84	$17,782.79
United Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $2,398.83 / $6,760.83	Professional		$1,584.89	$2,398.83	$6,760.83