Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $3,019.95 / $14,454.40	Facility		$1,621.81	$3,019.95	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,659.59 / $3,019.95	Professional		$1,348.96	$1,659.59	$3,019.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $8,317.64 / $13,803.84	Facility		$5,011.87	$8,317.64	$13,803.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $2,754.23 / $7,079.46	Professional		$1,412.54	$2,754.23	$7,079.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $4,365.16 / $6,918.31	Facility		$3,715.35	$4,365.16	$6,918.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $3,311.31 / $6,025.60	Professional		$1,548.82	$3,311.31	$6,025.60
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,862.09 / $8,511.38	Facility		$1,348.96	$1,862.09	$8,511.38
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $3,162.28 / $5,011.87	Professional		$2,511.89	$3,162.28	$5,011.87
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,862.09 / $5,754.40	Facility		$1,412.54	$1,862.09	$5,754.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $2,570.40 / $10,964.78	Professional		$1,479.11	$2,570.40	$10,964.78
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 $1,862.09 / $3,311.31 / $5,128.61	Professional		$1,862.09	$3,311.31	$5,128.61
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $13,803.84 / $13,803.84	Facility		$3,715.35	$13,803.84	$13,803.84
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $7,079.46 / $10,715.19	Professional		$1,513.56	$7,079.46	$10,715.19
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 $4,570.88 / $5,623.41 / $7,244.36	Professional		$4,570.88	$5,623.41	$7,244.36
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 $1,412.54 / $2,089.30 / $5,495.41	Professional		$1,412.54	$2,089.30	$5,495.41