Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $2,511.89 / $14,454.40	Facility		$1,479.11	$2,511.89	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,412.54 / $3,019.95	Professional		$1,122.02	$1,412.54	$3,019.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,585.78 / $12,882.50 / $21,877.62	Facility		$7,585.78	$12,882.50	$21,877.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $2,344.23 / $5,623.41	Professional		$1,174.90	$2,344.23	$5,623.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $3,715.35 / $5,888.44	Facility		$3,162.28	$3,715.35	$5,888.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $3,801.89 / $4,365.16	Professional		$1,737.80	$3,801.89	$4,365.16
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $5,248.07 / $9,549.93	Facility		$1,479.11	$5,248.07	$9,549.93
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $3,019.95 / $3,715.35	Professional		$2,137.96	$3,019.95	$3,715.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $7,079.46 / $13,803.84	Facility		$1,412.54	$7,079.46	$13,803.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $2,187.76 / $9,120.11	Professional		$1,230.27	$2,187.76	$9,120.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,659.59	Professional		$32.36	$33.11	$1,659.59
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $2,630.27 / $4,570.88	Professional		$1,380.38	$2,630.27	$4,570.88
Quartz Facility/Professional Facility Modifier Low / Median / High Price $7,762.47 / $11,748.98 / $11,748.98	Facility		$7,762.47	$11,748.98	$11,748.98
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $5,888.44 / $8,912.51	Professional		$1,659.59	$5,888.44	$8,912.51
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $2,951.21 / $2,951.21	Professional		$2,951.21	$2,951.21	$2,951.21
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $6,606.93 / $7,244.36	Professional		$2,754.23	$6,606.93	$7,244.36
United Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $10,232.93 / $14,454.40	Facility		$6,606.93	$10,232.93	$14,454.40
United Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,905.46 / $5,128.61	Professional		$1,174.90	$1,905.46	$5,128.61