Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $3,235.94 / $14,454.40	Facility		$1,737.80	$3,235.94	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,737.80 / $3,235.94	Professional		$1,479.11	$1,737.80	$3,235.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $8,128.31 / $13,803.84	Facility		$5,011.87	$8,128.31	$13,803.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,951.21 / $7,762.47	Professional		$1,513.56	$2,951.21	$7,762.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $4,786.30 / $7,585.78	Facility		$4,073.80	$4,786.30	$7,585.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $3,467.37 / $6,606.93	Professional		$1,698.24	$3,467.37	$6,606.93
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $2,137.96 / $8,511.38	Facility		$1,513.56	$2,137.96	$8,511.38
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $3,388.44 / $5,370.32	Professional		$2,754.23	$3,388.44	$5,370.32
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $2,290.87 / $5,888.44	Facility		$1,584.89	$2,290.87	$5,888.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $2,754.23 / $13,182.57	Professional		$1,584.89	$2,754.23	$13,182.57
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 $1,995.26 / $3,630.78 / $5,623.41	Professional		$1,995.26	$3,630.78	$5,623.41
Quartz Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $22,387.21 / $22,387.21	Facility		$4,073.80	$22,387.21	$22,387.21
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $7,585.78 / $13,489.63	Professional		$1,659.59	$7,585.78	$13,489.63
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,754.40 / $5,754.40 / $5,754.40	Professional		$5,754.40	$5,754.40	$5,754.40
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,311.31 / $6,025.60 / $7,943.28	Professional		$3,311.31	$6,025.60	$7,943.28
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 $1,513.56 / $2,238.72 / $5,888.44	Professional		$1,513.56	$2,238.72	$5,888.44