Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $2,187.76 / $14,454.40	Facility		$1,174.90	$2,187.76	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,174.90 / $2,691.53	Professional		$977.24	$1,174.90	$2,691.53
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 $1,047.13 / $2,041.74 / $6,025.60	Professional		$1,047.13	$2,041.74	$6,025.60
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 $1,148.15 / $2,398.83 / $4,466.84	Professional		$1,148.15	$2,398.83	$4,466.84
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $3,090.30 / $10,471.29	Facility		$1,047.13	$3,090.30	$10,471.29
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,630.27 / $3,311.31	Professional		$1,905.46	$2,630.27	$3,311.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $3,162.28 / $15,135.61	Facility		$1,122.02	$3,162.28	$15,135.61
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,698.24 / $6,760.83	Professional		$1,122.02	$1,698.24	$6,760.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,348.96	Professional		$32.36	$33.11	$1,348.96
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,290.87 / $3,467.37	Professional		$1,659.59	$2,290.87	$3,467.37
Quartz Facility/Professional Facility Modifier Low / Median / High Price $11,220.18 / $16,595.87 / $16,595.87	Facility		$11,220.18	$16,595.87	$16,595.87
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,949.84 / $8,912.51	Professional		$1,122.02	$1,949.84	$8,912.51
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,890.45 / $3,890.45 / $3,890.45	Professional		$3,890.45	$3,890.45	$3,890.45
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,467.37 / $5,370.32 / $6,025.60	Professional		$3,467.37	$5,370.32	$6,025.60
United Facility/Professional Facility Modifier Low / Median / High Price $7,585.78 / $12,302.69 / $16,218.10	Facility		$7,585.78	$12,302.69	$16,218.10
United Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,621.81 / $4,570.88	Professional		$1,071.52	$1,621.81	$4,570.88