Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $3,311.31 / $14,454.40	Facility		$1,621.81	$3,311.31	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,659.59 / $4,168.69	Professional		$1,513.56	$1,659.59	$4,168.69
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 $1,584.89 / $3,235.94 / $7,943.28	Professional		$1,584.89	$3,235.94	$7,943.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $5,011.87 / $7,943.28	Facility		$4,265.80	$5,011.87	$7,943.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $6,760.83 / $8,317.64	Professional		$2,089.30	$6,760.83	$8,317.64
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $2,754.23 / $4,265.80	Facility		$1,659.59	$2,754.23	$4,265.80
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $3,890.45 / $5,011.87	Professional		$2,884.03	$3,890.45	$5,011.87
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $3,311.31 / $11,220.18	Facility		$1,659.59	$3,311.31	$11,220.18
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,951.21 / $12,022.64	Professional		$1,621.81	$2,951.21	$12,022.64
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 $2,454.71 / $3,715.35 / $5,623.41	Professional		$2,454.71	$3,715.35	$5,623.41
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $6,025.60 / $10,471.29	Facility		$3,235.94	$6,025.60	$10,471.29
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $7,762.47 / $12,022.64	Professional		$2,884.03	$7,762.47	$12,022.64
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,370.32 / $5,370.32 / $5,370.32	Professional		$5,370.32	$5,370.32	$5,370.32
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,677.35 / $9,120.11 / $10,471.29	Professional		$4,677.35	$9,120.11	$10,471.29
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 $1,548.82 / $2,454.71 / $6,606.93	Professional		$1,548.82	$2,454.71	$6,606.93