Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $3,388.44 / $14,454.40	Facility		$1,995.26	$3,388.44	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,995.26 / $4,265.80	Professional		$1,548.82	$1,995.26	$4,265.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,120.11 / $12,882.50 / $20,892.96	Facility		$9,120.11	$12,882.50	$20,892.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $3,162.28 / $8,128.31	Professional		$1,659.59	$3,162.28	$8,128.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $4,897.79 / $7,943.28	Facility		$4,265.80	$4,897.79	$7,943.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $5,128.61 / $5,888.44	Professional		$2,630.27	$5,128.61	$5,888.44
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $7,244.36 / $14,454.40	Facility		$1,949.84	$7,244.36	$14,454.40
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $4,073.80 / $5,128.61	Professional		$2,951.21	$4,073.80	$5,128.61
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $3,388.44 / $9,549.93	Facility		$1,819.70	$3,388.44	$9,549.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $3,235.94 / $8,317.64	Professional		$1,862.09	$3,235.94	$8,317.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,479.11	Professional		$32.36	$33.11	$1,479.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $4,168.69 / $6,760.83	Professional		$2,137.96	$4,168.69	$6,760.83
Quartz Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $4,265.80 / $31,622.78	Facility		$4,265.80	$4,265.80	$31,622.78
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $8,317.64 / $12,302.69	Professional		$2,884.03	$8,317.64	$12,302.69
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,073.80 / $4,073.80 / $4,073.80	Professional		$4,073.80	$4,073.80	$4,073.80
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,890.45 / $9,120.11 / $9,772.37	Professional		$3,890.45	$9,120.11	$9,772.37
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 $1,659.59 / $2,754.23 / $7,244.36	Professional		$1,659.59	$2,754.23	$7,244.36