Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $2,454.71 / $14,454.40	Facility		$1,513.56	$2,454.71	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,513.56 / $3,019.95	Professional		$1,096.48	$1,513.56	$3,019.95
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 $1,174.90 / $2,290.87 / $6,606.93	Professional		$1,174.90	$2,290.87	$6,606.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $3,548.13 / $5,623.41	Facility		$3,019.95	$3,548.13	$5,623.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $3,715.35 / $4,466.84	Professional		$1,905.46	$3,715.35	$4,466.84
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $7,244.36 / $13,489.63	Facility		$1,380.38	$7,244.36	$13,489.63
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $3,162.28 / $3,630.78	Professional		$2,511.89	$3,162.28	$3,630.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $2,818.38 / $9,549.93	Facility		$1,348.96	$2,818.38	$9,549.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $2,454.71 / $8,912.51	Professional		$1,412.54	$2,454.71	$8,912.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,659.59	Professional		$32.36	$33.11	$1,659.59
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $3,090.30 / $5,011.87	Professional		$2,187.76	$3,090.30	$5,011.87
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $22,387.21 / $22,387.21	Facility		$3,019.95	$22,387.21	$22,387.21
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $5,888.44 / $8,709.64	Professional		$2,041.74	$5,888.44	$8,709.64
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,165.95 / $6,165.95 / $6,165.95	Professional		$6,165.95	$6,165.95	$6,165.95
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,495.41 / $8,128.31 / $8,317.64	Professional		$5,495.41	$8,128.31	$8,317.64
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 $1,412.54 / $2,398.83 / $5,370.32	Professional		$1,412.54	$2,398.83	$5,370.32