Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $2,754.23 / $14,454.40	Facility		$1,698.24	$2,754.23	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,698.24 / $3,467.37	Professional		$1,288.25	$1,698.24	$3,467.37
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 / $2,570.40 / $7,585.78	Professional		$1,380.38	$2,570.40	$7,585.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $3,981.07 / $6,309.57	Facility		$3,388.44	$3,981.07	$6,309.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $4,265.80 / $4,786.30	Professional		$2,238.72	$4,265.80	$4,786.30
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $7,244.36 / $13,489.63	Facility		$1,479.11	$7,244.36	$13,489.63
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $3,548.13 / $4,073.80	Professional		$2,818.38	$3,548.13	$4,073.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $3,090.30 / $9,549.93	Facility		$1,479.11	$3,090.30	$9,549.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,951.21 / $10,232.93	Professional		$1,737.80	$2,951.21	$10,232.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $2,089.30	Professional		$32.36	$33.11	$2,089.30
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $3,388.44 / $5,754.40	Professional		$2,398.83	$3,388.44	$5,754.40
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $17,378.01 / $17,378.01	Facility		$3,467.37	$17,378.01	$17,378.01
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $6,918.31 / $10,232.93	Professional		$2,344.23	$6,918.31	$10,232.93
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,918.31 / $6,918.31 / $6,918.31	Professional		$6,918.31	$6,918.31	$6,918.31
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,456.54 / $9,332.54 / $9,332.54	Professional		$6,456.54	$9,332.54	$9,332.54
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 $1,621.81 / $2,754.23 / $6,165.95	Professional		$1,621.81	$2,754.23	$6,165.95