Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $2,137.96 / $14,454.40	Facility		$1,174.90	$2,137.96	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,202.26 / $2,187.76	Professional		$1,023.29	$1,202.26	$2,187.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,120.11 / $12,882.50 / $20,417.38	Facility		$9,120.11	$12,882.50	$20,417.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,995.26 / $5,128.61	Professional		$1,047.13	$1,995.26	$5,128.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $3,162.28 / $5,011.87	Facility		$2,691.53	$3,162.28	$5,011.87
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 $1,071.52 / $1,445.44 / $8,912.51	Facility		$1,071.52	$1,445.44	$8,912.51
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,290.87 / $3,715.35	Professional		$1,819.70	$2,290.87	$3,715.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,479.11 / $6,165.95	Facility		$1,071.52	$1,479.11	$6,165.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,905.46 / $7,943.28	Professional		$1,148.15	$1,905.46	$7,943.28
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 $1,380.38 / $2,511.89 / $3,890.45	Professional		$1,380.38	$2,511.89	$3,890.45
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $2,691.53 / $16,218.10	Facility		$2,691.53	$2,691.53	$16,218.10
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $3,715.35 / $7,762.47	Professional		$1,096.48	$3,715.35	$7,762.47
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 $3,388.44 / $4,168.69 / $5,248.07	Professional		$3,388.44	$4,168.69	$5,248.07
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 $1,071.52 / $1,621.81 / $4,168.69	Professional		$1,071.52	$1,621.81	$4,168.69