Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $2,511.89 / $14,454.40	Facility		$1,548.82	$2,511.89	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,548.82 / $3,162.28	Professional		$1,174.90	$1,548.82	$3,162.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $10,964.78 / $17,378.01	Facility		$6,606.93	$10,964.78	$17,378.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $2,344.23 / $6,918.31	Professional		$1,230.27	$2,344.23	$6,918.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $3,630.78 / $5,754.40	Facility		$3,090.30	$3,630.78	$5,754.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $3,890.45 / $4,897.79	Professional		$2,041.74	$3,890.45	$4,897.79
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $7,244.36 / $13,489.63	Facility		$1,412.54	$7,244.36	$13,489.63
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $3,235.94 / $3,715.35	Professional		$2,570.40	$3,235.94	$3,715.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $2,818.38 / $9,549.93	Facility		$1,412.54	$2,818.38	$9,549.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,630.27 / $9,332.54	Professional		$1,513.56	$2,630.27	$9,332.54
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 $2,187.76 / $3,090.30 / $5,248.07	Professional		$2,187.76	$3,090.30	$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 / $9,120.11	Professional		$2,137.96	$6,165.95	$9,120.11
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,309.57 / $6,309.57 / $6,309.57	Professional		$6,309.57	$6,309.57	$6,309.57
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,370.32 / $8,511.38 / $8,511.38	Professional		$5,370.32	$8,511.38	$8,511.38
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 $1,479.11 / $2,511.89 / $5,623.41	Professional		$1,479.11	$2,511.89	$5,623.41