Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $2,511.89 / $14,454.40	Facility		$1,584.89	$2,511.89	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,584.89 / $3,162.28	Professional		$1,174.90	$1,584.89	$3,162.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,882.50 / $18,197.01 / $28,840.32	Facility		$12,882.50	$18,197.01	$28,840.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $2,398.83 / $6,918.31	Professional		$1,258.93	$2,398.83	$6,918.31
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 $1,995.26 / $3,890.45 / $5,011.87	Professional		$1,995.26	$3,890.45	$5,011.87
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $7,244.36 / $13,489.63	Facility		$1,445.44	$7,244.36	$13,489.63
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $3,235.94 / $3,801.89	Professional		$2,630.27	$3,235.94	$3,801.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $3,311.31 / $9,549.93	Facility		$1,412.54	$3,311.31	$9,549.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,691.53 / $11,481.54	Professional		$1,548.82	$2,691.53	$11,481.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,819.70	Professional		$32.36	$33.11	$1,819.70
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $3,162.28 / $5,248.07	Professional		$2,238.72	$3,162.28	$5,248.07
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $23,442.29 / $23,442.29	Facility		$3,162.28	$23,442.29	$23,442.29
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $6,165.95 / $18,620.87	Professional		$2,137.96	$6,165.95	$18,620.87
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,456.54 / $6,456.54 / $6,456.54	Professional		$6,456.54	$6,456.54	$6,456.54
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,888.44 / $8,511.38 / $8,709.64	Professional		$5,888.44	$8,511.38	$8,709.64
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 $1,513.56 / $2,511.89 / $5,623.41	Professional		$1,513.56	$2,511.89	$5,623.41