Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $3,548.13 / $14,454.40	Facility		$2,137.96	$3,548.13	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $2,041.74 / $4,365.16	Professional		$1,479.11	$2,041.74	$4,365.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $10,964.78 / $18,197.01	Facility		$6,606.93	$10,964.78	$18,197.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $3,388.44 / $7,943.28	Professional		$1,513.56	$3,388.44	$7,943.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $5,370.32 / $8,511.38	Facility		$4,570.88	$5,370.32	$8,511.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $5,495.41 / $6,165.95	Professional		$2,344.23	$5,495.41	$6,165.95
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $6,606.93 / $13,182.57	Facility		$1,737.80	$6,606.93	$13,182.57
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $3,090.30 / $4,265.80 / $5,128.61	Professional		$3,090.30	$4,265.80	$5,128.61
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $7,585.78 / $15,848.93	Facility		$1,737.80	$7,585.78	$15,848.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,691.53 / $12,882.50	Professional		$1,659.59	$2,691.53	$12,882.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $2,041.74	Professional		$32.36	$33.11	$2,041.74
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $4,168.69 / $6,025.60	Professional		$2,137.96	$4,168.69	$6,025.60
Quartz Facility/Professional Facility Modifier Low / Median / High Price $11,220.18 / $16,595.87 / $16,595.87	Facility		$11,220.18	$16,595.87	$16,595.87
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $8,317.64 / $12,882.50	Professional		$2,344.23	$8,317.64	$12,882.50
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,265.80 / $4,265.80 / $4,265.80	Professional		$4,265.80	$4,265.80	$4,265.80
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $9,772.37 / $10,471.29	Professional		$2,630.27	$9,772.37	$10,471.29
United Facility/Professional Facility Modifier Low / Median / High Price $7,585.78 / $12,302.69 / $16,218.10	Facility		$7,585.78	$12,302.69	$16,218.10
United Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,570.40 / $7,244.36	Professional		$1,513.56	$2,570.40	$7,244.36