Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $2,570.40 / $14,454.40	Facility		$1,380.38	$2,570.40	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,445.44 / $2,570.40	Professional		$1,230.27	$1,445.44	$2,570.40
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 $1,258.93 / $2,398.83 / $6,165.95	Professional		$1,258.93	$2,398.83	$6,165.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $3,801.89 / $6,025.60	Facility		$3,235.94	$3,801.89	$6,025.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $2,884.03 / $5,248.07	Professional		$1,380.38	$2,884.03	$5,248.07
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,737.80 / $8,128.31	Facility		$1,258.93	$1,737.80	$8,128.31
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,754.23 / $4,466.84	Professional		$2,187.76	$2,754.23	$4,466.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,778.28 / $5,754.40	Facility		$1,288.25	$1,778.28	$5,754.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $2,290.87 / $9,549.93	Professional		$1,348.96	$2,290.87	$9,549.93
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 $1,659.59 / $3,019.95 / $4,677.35	Professional		$1,659.59	$3,019.95	$4,677.35
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $23,988.33 / $23,988.33	Facility		$3,235.94	$23,988.33	$23,988.33
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $6,309.57 / $9,332.54	Professional		$1,348.96	$6,309.57	$9,332.54
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,677.35 / $4,677.35 / $4,677.35	Professional		$4,677.35	$4,677.35	$4,677.35
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,168.69 / $5,011.87 / $6,309.57	Professional		$4,168.69	$5,011.87	$6,309.57
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 $1,258.93 / $1,819.70 / $4,897.79	Professional		$1,258.93	$1,819.70	$4,897.79