Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $2,511.89 / $14,454.40	Facility		$1,174.90	$2,511.89	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,230.27 / $3,235.94	Professional		$1,096.48	$1,230.27	$3,235.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $4,786.30 / $8,709.64	Facility		$3,311.31	$4,786.30	$8,709.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $2,344.23 / $5,754.40	Professional		$1,174.90	$2,344.23	$5,754.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $3,630.78 / $5,888.44	Facility		$3,162.28	$3,630.78	$5,888.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $4,897.79 / $5,623.41	Professional		$1,548.82	$4,897.79	$5,623.41
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $2,398.83 / $5,495.41	Facility		$1,148.15	$2,398.83	$5,495.41
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,884.03 / $3,715.35	Professional		$2,137.96	$2,884.03	$3,715.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $2,511.89 / $8,128.31	Facility		$1,174.90	$2,511.89	$8,128.31
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $2,089.30 / $9,120.11	Professional		$1,202.26	$2,089.30	$9,120.11
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 $1,778.28 / $2,691.53 / $4,073.80	Professional		$1,778.28	$2,691.53	$4,073.80
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $7,413.10 / $7,413.10	Facility		$3,235.94	$7,413.10	$7,413.10
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $5,754.40 / $8,912.51	Professional		$2,137.96	$5,754.40	$8,912.51
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,801.89 / $3,801.89 / $3,801.89	Professional		$3,801.89	$3,801.89	$3,801.89
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,388.44 / $6,456.54 / $7,762.47	Professional		$3,388.44	$6,456.54	$7,762.47
United Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $7,413.10 / $9,120.11	Facility		$4,786.30	$7,413.10	$9,120.11
United Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,778.28 / $4,897.79	Professional		$1,174.90	$1,778.28	$4,897.79