Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $2,570.40 / $14,454.40	Facility		$1,202.26	$2,570.40	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,258.93 / $2,630.27	Professional		$1,122.02	$1,258.93	$2,630.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $8,317.64 / $13,489.63	Facility		$5,011.87	$8,317.64	$13,489.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $2,398.83 / $6,025.60	Professional		$1,202.26	$2,398.83	$6,025.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $3,715.35 / $6,025.60	Facility		$3,235.94	$3,715.35	$6,025.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $5,011.87 / $5,754.40	Professional		$1,513.56	$5,011.87	$5,754.40
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $2,041.74 / $4,168.69	Facility		$933.25	$2,041.74	$4,168.69
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,818.38 / $3,630.78	Professional		$2,187.76	$2,818.38	$3,630.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $2,570.40 / $11,220.18	Facility		$1,122.02	$2,570.40	$11,220.18
Medica Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,905.46 / $9,332.54	Professional		$691.83	$1,905.46	$9,332.54
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 $1,819.70 / $2,754.23 / $4,168.69	Professional		$1,819.70	$2,754.23	$4,168.69
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $6,025.60 / $11,481.54	Facility		$3,235.94	$6,025.60	$11,481.54
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $6,025.60 / $9,120.11	Professional		$2,187.76	$6,025.60	$9,120.11
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 $1,513.56 / $6,918.31 / $7,762.47	Professional		$1,513.56	$6,918.31	$7,762.47
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 $691.83 / $1,698.24 / $5,011.87	Professional		$691.83	$1,698.24	$5,011.87