Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $2,511.89 / $14,454.40	Facility		$1,778.28	$2,511.89	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,778.28 / $3,162.28	Professional		$1,288.25	$1,778.28	$3,162.28
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 $1,380.38 / $2,691.53 / $7,585.78	Professional		$1,380.38	$2,691.53	$7,585.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $4,265.80 / $6,760.83	Facility		$3,630.78	$4,265.80	$6,760.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $4,466.84 / $5,011.87	Professional		$2,041.74	$4,466.84	$5,011.87
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $7,244.36 / $13,489.63	Facility		$1,348.96	$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 $1,348.96 / $3,019.95 / $9,549.93	Facility		$1,348.96	$3,019.95	$9,549.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,884.03 / $10,715.19	Professional		$1,659.59	$2,884.03	$10,715.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,949.84	Professional		$32.36	$33.11	$1,949.84
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $3,162.28 / $6,025.60	Professional		$2,187.76	$3,162.28	$6,025.60
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 / $6,760.83 / $9,120.11	Professional		$2,137.96	$6,760.83	$9,120.11
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7,244.36 / $7,244.36 / $7,244.36	Professional		$7,244.36	$7,244.36	$7,244.36
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,370.32 / $9,772.37 / $9,772.37	Professional		$5,370.32	$9,772.37	$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 / $6,165.95	Professional		$1,659.59	$2,754.23	$6,165.95