Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $3,019.95 / $14,454.40	Facility		$1,445.44	$3,019.95	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,513.56 / $3,311.31	Professional		$1,348.96	$1,513.56	$3,311.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $8,128.31 / $13,489.63	Facility		$5,011.87	$8,128.31	$13,489.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $2,884.03 / $7,244.36	Professional		$1,479.11	$2,884.03	$7,244.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $4,466.84 / $7,079.46	Facility		$3,801.89	$4,466.84	$7,079.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $6,025.60 / $6,760.83	Professional		$1,819.70	$6,025.60	$6,760.83
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $2,884.03 / $6,918.31	Facility		$1,348.96	$2,884.03	$6,918.31
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $3,548.13 / $4,570.88	Professional		$2,630.27	$3,548.13	$4,570.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $3,019.95 / $15,135.61	Facility		$1,348.96	$3,019.95	$15,135.61
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $2,570.40 / $10,964.78	Professional		$1,096.48	$2,570.40	$10,964.78
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 $2,137.96 / $3,235.94 / $5,011.87	Professional		$2,137.96	$3,235.94	$5,011.87
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $10,232.93 / $10,232.93	Facility		$3,801.89	$10,232.93	$10,232.93
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $7,244.36 / $10,715.19	Professional		$2,630.27	$7,244.36	$10,715.19
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,786.30 / $4,786.30 / $4,786.30	Professional		$4,786.30	$4,786.30	$4,786.30
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $8,128.31 / $9,332.54	Professional		$2,041.74	$8,128.31	$9,332.54
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 $1,096.48 / $2,137.96 / $6,025.60	Professional		$1,096.48	$2,137.96	$6,025.60