Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $2,398.83 / $14,454.40	Facility		$1,148.15	$2,398.83	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,202.26 / $2,951.21	Professional		$1,071.52	$1,202.26	$2,951.21
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 $1,122.02 / $2,398.83 / $5,754.40	Professional		$1,122.02	$2,398.83	$5,754.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $3,630.78 / $5,754.40	Facility		$3,090.30	$3,630.78	$5,754.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $4,897.79 / $6,025.60	Professional		$1,513.56	$4,897.79	$6,025.60
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $2,290.87 / $6,760.83	Facility		$1,174.90	$2,290.87	$6,760.83
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,818.38 / $3,630.78	Professional		$2,089.30	$2,818.38	$3,630.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $2,398.83 / $11,220.18	Facility		$1,202.26	$2,398.83	$11,220.18
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $2,089.30 / $8,709.64	Professional		$1,202.26	$2,089.30	$8,709.64
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 / $6,025.60 / $8,912.51	Facility		$3,235.94	$6,025.60	$8,912.51
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $5,495.41 / $8,511.38	Professional		$2,089.30	$5,495.41	$8,511.38
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,890.45 / $3,890.45 / $3,890.45	Professional		$3,890.45	$3,890.45	$3,890.45
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $6,456.54 / $7,413.10	Professional		$2,344.23	$6,456.54	$7,413.10
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 $1,148.15 / $1,737.80 / $4,677.35	Professional		$1,148.15	$1,737.80	$4,677.35