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 $1,071.52 / $1,288.25 / $2,344.23	Professional		$1,071.52	$1,288.25	$2,344.23
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 $1,122.02 / $2,187.76 / $5,623.41	Professional		$1,122.02	$2,187.76	$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 $1,230.27 / $2,630.27 / $4,786.30	Professional		$1,230.27	$2,630.27	$4,786.30
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,548.82 / $8,511.38	Facility		$1,122.02	$1,548.82	$8,511.38
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,511.89 / $3,981.07	Professional		$1,995.26	$2,511.89	$3,981.07
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,621.81 / $5,754.40	Facility		$1,148.15	$1,621.81	$5,754.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,995.26 / $8,709.64	Professional		$1,148.15	$1,995.26	$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 $1,479.11 / $2,691.53 / $4,168.69	Professional		$1,479.11	$2,691.53	$4,168.69
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $10,964.78 / $10,964.78	Facility		$2,951.21	$10,964.78	$10,964.78
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $5,623.41 / $8,709.64	Professional		$1,202.26	$5,623.41	$8,709.64
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,265.80 / $4,265.80 / $4,265.80	Professional		$4,265.80	$4,265.80	$4,265.80
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,630.78 / $4,466.84 / $5,754.40	Professional		$3,630.78	$4,466.84	$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 $1,122.02 / $1,621.81 / $4,365.16	Professional		$1,122.02	$1,621.81	$4,365.16