Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $2,238.72 / $14,454.40	Facility		$1,071.52	$2,238.72	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,174.90 / $3,311.31	Professional		$1,023.29	$1,174.90	$3,311.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $7,943.28 / $12,589.25	Facility		$5,011.87	$7,943.28	$12,589.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $2,238.72 / $5,370.32	Professional		$1,096.48	$2,238.72	$5,370.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $3,311.31 / $5,248.07	Facility		$2,818.38	$3,311.31	$5,248.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $4,466.84 / $5,011.87	Professional		$1,412.54	$4,466.84	$5,011.87
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $2,238.72 / $5,495.41	Facility		$1,096.48	$2,238.72	$5,495.41
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,630.27 / $3,388.44	Professional		$1,949.84	$2,630.27	$3,388.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $2,344.23 / $5,754.40	Facility		$1,122.02	$2,344.23	$5,754.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $2,041.74 / $11,220.18	Professional		$1,174.90	$2,041.74	$11,220.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $85.11	Professional		$32.36	$33.11	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,511.89 / $3,801.89	Professional		$1,659.59	$2,511.89	$3,801.89
Quartz Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $7,762.47 / $7,762.47	Facility		$4,570.88	$7,762.47	$7,762.47
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $5,370.32 / $11,220.18	Professional		$1,949.84	$5,370.32	$11,220.18
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,548.13 / $3,548.13 / $3,548.13	Professional		$3,548.13	$3,548.13	$3,548.13
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $6,025.60 / $6,918.31	Professional		$2,137.96	$6,025.60	$6,918.31
United Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $3,801.89 / $6,606.93	Facility		$2,884.03	$3,801.89	$6,606.93
United Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,698.24 / $4,466.84	Professional		$1,148.15	$1,698.24	$4,466.84