Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $2,238.72 / $14,454.40	Facility		$1,318.26	$2,238.72	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,318.26 / $2,754.23	Professional		$977.24	$1,318.26	$2,754.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $8,128.31 / $13,182.57	Facility		$5,011.87	$8,128.31	$13,182.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,995.26 / $5,754.40	Professional		$1,047.13	$1,995.26	$5,754.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $3,235.94 / $5,128.61	Facility		$2,754.23	$3,235.94	$5,128.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $3,388.44 / $3,801.89	Professional		$1,737.80	$3,388.44	$3,801.89
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $7,244.36 / $13,489.63	Facility		$1,258.93	$7,244.36	$13,489.63
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $2,884.03 / $3,311.31	Professional		$2,290.87	$2,884.03	$3,311.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $2,818.38 / $9,549.93	Facility		$1,258.93	$2,818.38	$9,549.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $2,137.96 / $8,128.31	Professional		$1,258.93	$2,137.96	$8,128.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,445.44	Professional		$32.36	$33.11	$1,445.44
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,754.23 / $4,570.88	Professional		$1,905.46	$2,754.23	$4,570.88
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $20,417.38 / $20,417.38	Facility		$2,818.38	$20,417.38	$20,417.38
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $5,128.61 / $7,943.28	Professional		$2,041.74	$5,128.61	$7,943.28
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,370.32 / $5,370.32 / $5,370.32	Professional		$5,370.32	$5,370.32	$5,370.32
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,897.79 / $7,413.10 / $7,413.10	Professional		$4,897.79	$7,413.10	$7,413.10
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 $1,230.27 / $2,089.30 / $4,677.35	Professional		$1,230.27	$2,089.30	$4,677.35