Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $3,162.28 / $14,454.40	Facility		$1,698.24	$3,162.28	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,659.59 / $3,090.30	Professional		$1,412.54	$1,659.59	$3,090.30
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 $1,513.56 / $2,884.03 / $7,413.10	Professional		$1,513.56	$2,884.03	$7,413.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $4,570.88 / $7,413.10	Facility		$3,890.45	$4,570.88	$7,413.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $3,388.44 / $6,456.54	Professional		$1,584.89	$3,388.44	$6,456.54
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $1,949.84 / $8,511.38	Facility		$1,445.44	$1,949.84	$8,511.38
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $3,311.31 / $5,128.61	Professional		$2,630.27	$3,311.31	$5,128.61
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $2,089.30 / $5,888.44	Facility		$1,479.11	$2,089.30	$5,888.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,754.23 / $11,481.54	Professional		$1,548.82	$2,754.23	$11,481.54
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 $1,819.70 / $3,311.31 / $5,128.61	Professional		$1,819.70	$3,311.31	$5,128.61
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $14,125.38 / $14,125.38	Facility		$3,890.45	$14,125.38	$14,125.38
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $7,585.78 / $11,220.18	Professional		$1,584.89	$7,585.78	$11,220.18
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,623.41 / $5,623.41 / $5,623.41	Professional		$5,623.41	$5,623.41	$5,623.41
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,786.30 / $6,025.60 / $7,585.78	Professional		$4,786.30	$6,025.60	$7,585.78
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 $1,445.44 / $2,137.96 / $5,888.44	Professional		$1,445.44	$2,137.96	$5,888.44