Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $2,137.96 / $14,454.40	Facility		$1,318.26	$2,137.96	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,318.26 / $2,691.53	Professional		$977.24	$1,318.26	$2,691.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,882.50 / $18,197.01 / $29,512.09	Facility		$12,882.50	$18,197.01	$29,512.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $2,041.74 / $5,754.40	Professional		$1,047.13	$2,041.74	$5,754.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $3,162.28 / $5,011.87	Facility		$2,691.53	$3,162.28	$5,011.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $3,311.31 / $3,981.07	Professional		$1,698.24	$3,311.31	$3,981.07
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $7,244.36 / $13,489.63	Facility		$1,230.27	$7,244.36	$13,489.63
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $2,754.23 / $3,235.94	Professional		$2,238.72	$2,754.23	$3,235.94
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $2,818.38 / $9,549.93	Facility		$1,202.26	$2,818.38	$9,549.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $2,290.87 / $9,549.93	Professional		$1,258.93	$2,290.87	$9,549.93
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 $1,949.84 / $2,754.23 / $4,466.84	Professional		$1,949.84	$2,754.23	$4,466.84
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $19,952.62 / $19,952.62	Facility		$2,691.53	$19,952.62	$19,952.62
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $5,248.07 / $12,022.64	Professional		$1,819.70	$5,248.07	$12,022.64
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,495.41 / $5,495.41 / $5,495.41	Professional		$5,495.41	$5,495.41	$5,495.41
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,897.79 / $7,244.36 / $7,413.10	Professional		$4,897.79	$7,244.36	$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 $1,230.27 / $2,137.96 / $4,786.30	Professional		$1,230.27	$2,137.96	$4,786.30