Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $2,754.23 / $14,454.40	Facility		$1,479.11	$2,754.23	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,513.56 / $2,754.23	Professional		$1,258.93	$1,513.56	$2,754.23
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 $1,318.26 / $2,570.40 / $6,606.93	Professional		$1,318.26	$2,570.40	$6,606.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $4,073.80 / $6,456.54	Facility		$3,467.37	$4,073.80	$6,456.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $3,019.95 / $5,623.41	Professional		$1,445.44	$3,019.95	$5,623.41
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,819.70 / $8,511.38	Facility		$1,288.25	$1,819.70	$8,511.38
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $2,951.21 / $4,677.35	Professional		$2,344.23	$2,951.21	$4,677.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,862.09 / $5,754.40	Facility		$1,348.96	$1,862.09	$5,754.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $2,344.23 / $12,022.64	Professional		$1,348.96	$2,344.23	$12,022.64
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 $1,737.80 / $3,090.30 / $4,786.30	Professional		$1,737.80	$3,090.30	$4,786.30
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $12,882.50 / $12,882.50	Facility		$3,467.37	$12,882.50	$12,882.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $6,606.93 / $12,302.69	Professional		$1,412.54	$6,606.93	$12,302.69
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,011.87 / $5,011.87 / $5,011.87	Professional		$5,011.87	$5,011.87	$5,011.87
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,265.80 / $5,248.07 / $6,760.83	Professional		$4,265.80	$5,248.07	$6,760.83
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 $1,318.26 / $1,905.46 / $5,128.61	Professional		$1,318.26	$1,905.46	$5,128.61