Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $2,398.83 / $14,454.40	Facility		$1,122.02	$2,398.83	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,122.02 / $2,951.21	Professional		$1,023.29	$1,122.02	$2,951.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $8,317.64 / $14,125.38	Facility		$5,011.87	$8,317.64	$14,125.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $2,290.87 / $5,754.40	Professional		$1,174.90	$2,290.87	$5,754.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $3,548.13 / $5,623.41	Facility		$3,019.95	$3,548.13	$5,623.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $4,677.35 / $5,370.32	Professional		$1,513.56	$4,677.35	$5,370.32
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $2,290.87 / $6,760.83	Facility		$1,122.02	$2,290.87	$6,760.83
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,754.23 / $3,388.44	Professional		$2,089.30	$2,754.23	$3,388.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $2,398.83 / $11,220.18	Facility		$1,148.15	$2,398.83	$11,220.18
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $2,041.74 / $8,511.38	Professional		$1,148.15	$2,041.74	$8,511.38
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 $1,621.81 / $2,454.71 / $3,801.89	Professional		$1,621.81	$2,454.71	$3,801.89
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $6,025.60 / $9,120.11	Facility		$3,235.94	$6,025.60	$9,120.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $5,754.40 / $8,709.64	Professional		$2,041.74	$5,754.40	$8,709.64
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 $3,162.28 / $6,606.93 / $7,413.10	Professional		$3,162.28	$6,606.93	$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 $1,122.02 / $1,698.24 / $4,897.79	Professional		$1,122.02	$1,698.24	$4,897.79