Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $2,818.38 / $14,454.40	Facility		$1,348.96	$2,818.38	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,412.54 / $3,630.78	Professional		$1,258.93	$1,412.54	$3,630.78
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 $1,288.25 / $2,818.38 / $6,760.83	Professional		$1,288.25	$2,818.38	$6,760.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $4,168.69 / $6,760.83	Facility		$3,548.13	$4,168.69	$6,760.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $5,754.40 / $6,918.31	Professional		$1,778.28	$5,754.40	$6,918.31
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $2,754.23 / $6,760.83	Facility		$1,348.96	$2,754.23	$6,760.83
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $3,235.94 / $4,265.80	Professional		$2,454.71	$3,235.94	$4,265.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $2,884.03 / $11,220.18	Facility		$1,380.38	$2,884.03	$11,220.18
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $2,344.23 / $10,232.93	Professional		$1,288.25	$2,344.23	$10,232.93
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 $2,089.30 / $3,162.28 / $4,786.30	Professional		$2,089.30	$3,162.28	$4,786.30
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 $2,398.83 / $6,456.54 / $10,232.93	Professional		$2,398.83	$6,456.54	$10,232.93
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,466.84 / $4,466.84 / $4,466.84	Professional		$4,466.84	$4,466.84	$4,466.84
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,890.45 / $7,585.78 / $8,709.64	Professional		$3,890.45	$7,585.78	$8,709.64
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 $1,288.25 / $1,995.26 / $5,495.41	Professional		$1,288.25	$1,995.26	$5,495.41