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 $1,071.52 / $1,380.38 / $3,019.95	Professional		$1,071.52	$1,380.38	$3,019.95
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 $1,122.02 / $2,344.23 / $5,495.41	Professional		$1,122.02	$2,344.23	$5,495.41
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 $1,659.59 / $3,801.89 / $4,265.80	Professional		$1,659.59	$3,801.89	$4,265.80
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $5,128.61 / $9,549.93	Facility		$1,412.54	$5,128.61	$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 $1,348.96 / $8,317.64 / $15,848.93	Facility		$1,348.96	$8,317.64	$15,848.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,905.46 / $8,912.51	Professional		$1,096.48	$1,905.46	$8,912.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,348.96	Professional		$32.36	$33.11	$1,348.96
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $2,754.23 / $4,466.84	Professional		$1,412.54	$2,754.23	$4,466.84
Quartz Facility/Professional Facility Modifier Low / Median / High Price $9,120.11 / $13,803.84 / $13,803.84	Facility		$9,120.11	$13,803.84	$13,803.84
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $5,754.40 / $8,709.64	Professional		$1,659.59	$5,754.40	$8,709.64
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 $2,570.40 / $6,606.93 / $7,244.36	Professional		$2,570.40	$6,606.93	$7,244.36
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 $1,047.13 / $1,778.28 / $4,786.30	Professional		$1,047.13	$1,778.28	$4,786.30