Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $2,238.72 / $14,454.40	Facility		$1,202.26	$2,238.72	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,174.90 / $2,238.72	Professional		$1,023.29	$1,174.90	$2,238.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $10,964.78 / $19,054.61	Facility		$6,606.93	$10,964.78	$19,054.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $2,041.74 / $5,248.07	Professional		$1,047.13	$2,041.74	$5,248.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $3,311.31 / $5,248.07	Facility		$2,818.38	$3,311.31	$5,248.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $2,398.83 / $4,570.88	Professional		$1,122.02	$2,398.83	$4,570.88
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,479.11 / $8,128.31	Facility		$1,023.29	$1,479.11	$8,128.31
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,344.23 / $3,548.13	Professional		$1,905.46	$2,344.23	$3,548.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,548.82 / $5,888.44	Facility		$1,047.13	$1,548.82	$5,888.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,995.26 / $9,332.54	Professional		$1,122.02	$1,995.26	$9,332.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $70.79	Professional		$32.36	$33.11	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $2,238.72 / $3,467.37	Professional		$1,230.27	$2,238.72	$3,467.37
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $8,709.64 / $8,709.64	Facility		$2,818.38	$8,709.64	$8,709.64
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $5,248.07 / $9,332.54	Professional		$1,122.02	$5,248.07	$9,332.54
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,981.07 / $3,981.07 / $3,981.07	Professional		$3,981.07	$3,981.07	$3,981.07
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,311.31 / $4,168.69 / $5,495.41	Professional		$3,311.31	$4,168.69	$5,495.41
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 $1,023.29 / $1,513.56 / $4,073.80	Professional		$1,023.29	$1,513.56	$4,073.80