Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $2,290.87 / $14,454.40	Facility		$1,412.54	$2,290.87	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,412.54 / $2,884.03	Professional		$1,071.52	$1,412.54	$2,884.03
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 $1,122.02 / $2,137.96 / $6,309.57	Professional		$1,122.02	$2,137.96	$6,309.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $3,311.31 / $5,370.32	Facility		$2,884.03	$3,311.31	$5,370.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $3,548.13 / $3,981.07	Professional		$1,778.28	$3,548.13	$3,981.07
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $7,244.36 / $13,489.63	Facility		$1,230.27	$7,244.36	$13,489.63
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $2,951.21 / $3,467.37	Professional		$2,398.83	$2,951.21	$3,467.37
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $2,818.38 / $9,549.93	Facility		$1,230.27	$2,818.38	$9,549.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $2,454.71 / $10,232.93	Professional		$1,380.38	$2,454.71	$10,232.93
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 $1,995.26 / $2,818.38 / $4,786.30	Professional		$1,995.26	$2,818.38	$4,786.30
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $12,022.64 / $12,022.64	Facility		$2,884.03	$12,022.64	$12,022.64
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $5,623.41 / $10,232.93	Professional		$1,949.84	$5,623.41	$10,232.93
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,888.44 / $5,888.44 / $5,888.44	Professional		$5,888.44	$5,888.44	$5,888.44
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,370.32 / $7,762.47 / $7,762.47	Professional		$5,370.32	$7,762.47	$7,762.47
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 $1,380.38 / $2,290.87 / $5,128.61	Professional		$1,380.38	$2,290.87	$5,128.61