Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $2,570.40 / $14,454.40	Facility		$1,513.56	$2,570.40	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,513.56 / $3,162.28	Professional		$1,148.15	$1,513.56	$3,162.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $10,964.78 / $19,054.61	Facility		$6,606.93	$10,964.78	$19,054.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $2,398.83 / $6,165.95	Professional		$1,230.27	$2,398.83	$6,165.95
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 $1,862.09 / $3,890.45 / $4,365.16	Professional		$1,862.09	$3,890.45	$4,365.16
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $6,918.31 / $13,489.63	Facility		$1,445.44	$6,918.31	$13,489.63
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $3,090.30 / $3,801.89	Professional		$2,187.76	$3,090.30	$3,801.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $2,818.38 / $7,943.28	Facility		$1,445.44	$2,818.38	$7,943.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $2,398.83 / $9,549.93	Professional		$1,348.96	$2,398.83	$9,549.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,737.80	Professional		$32.36	$33.11	$1,737.80
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $3,162.28 / $5,011.87	Professional		$1,621.81	$3,162.28	$5,011.87
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $28,183.83 / $28,183.83	Facility		$3,235.94	$28,183.83	$28,183.83
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $6,165.95 / $9,120.11	Professional		$1,698.24	$6,165.95	$9,120.11
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $3,019.95 / $3,019.95	Professional		$3,019.95	$3,019.95	$3,019.95
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $6,918.31 / $7,413.10	Professional		$2,884.03	$6,918.31	$7,413.10
United Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $6,165.95 / $19,498.45	Facility		$2,290.87	$6,165.95	$19,498.45
United Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $2,041.74 / $5,370.32	Professional		$1,258.93	$2,041.74	$5,370.32