Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $2,344.23 / $14,454.40	Facility		$1,258.93	$2,344.23	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,288.25 / $2,344.23	Professional		$1,047.13	$1,288.25	$2,344.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $8,128.31 / $13,489.63	Facility		$5,011.87	$8,128.31	$13,489.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $2,137.96 / $5,623.41	Professional		$1,096.48	$2,137.96	$5,623.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $3,467.37 / $5,495.41	Facility		$2,951.21	$3,467.37	$5,495.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $2,570.40 / $4,786.30	Professional		$1,202.26	$2,570.40	$4,786.30
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,513.56 / $8,511.38	Facility		$1,096.48	$1,513.56	$8,511.38
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,454.71 / $3,890.45	Professional		$1,995.26	$2,454.71	$3,890.45
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,584.89 / $5,888.44	Facility		$1,148.15	$1,584.89	$5,888.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,949.84 / $8,709.64	Professional		$1,122.02	$1,949.84	$8,709.64
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 $1,445.44 / $2,630.27 / $4,073.80	Professional		$1,445.44	$2,630.27	$4,073.80
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $10,715.19 / $10,715.19	Facility		$2,951.21	$10,715.19	$10,715.19
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $5,495.41 / $8,511.38	Professional		$1,174.90	$5,495.41	$8,511.38
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,168.69 / $4,168.69 / $4,168.69	Professional		$4,168.69	$4,168.69	$4,168.69
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $4,365.16 / $5,754.40	Professional		$2,884.03	$4,365.16	$5,754.40
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 $1,096.48 / $1,621.81 / $4,265.80	Professional		$1,096.48	$1,621.81	$4,265.80