Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $2,290.87 / $14,454.40	Facility		$1,202.26	$2,290.87	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,202.26 / $2,290.87	Professional		$1,023.29	$1,202.26	$2,290.87
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 $1,071.52 / $2,089.30 / $5,370.32	Professional		$1,071.52	$2,089.30	$5,370.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $3,388.44 / $5,370.32	Facility		$2,884.03	$3,388.44	$5,370.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $2,454.71 / $4,677.35	Professional		$1,148.15	$2,454.71	$4,677.35
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,445.44 / $8,128.31	Facility		$1,047.13	$1,445.44	$8,128.31
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,454.71 / $3,630.78	Professional		$1,949.84	$2,454.71	$3,630.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,513.56 / $5,888.44	Facility		$1,096.48	$1,513.56	$5,888.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,862.09 / $8,511.38	Professional		$1,071.52	$1,862.09	$8,511.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $85.11	Professional		$32.36	$33.11	$85.11
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 $2,884.03 / $7,943.28 / $7,943.28	Facility		$2,884.03	$7,943.28	$7,943.28
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $5,370.32 / $8,317.64	Professional		$1,122.02	$5,370.32	$8,317.64
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,073.80 / $4,073.80 / $4,073.80	Professional		$4,073.80	$4,073.80	$4,073.80
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,548.13 / $4,265.80 / $5,623.41	Professional		$3,548.13	$4,265.80	$5,623.41
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 $1,071.52 / $1,513.56 / $4,168.69	Professional		$1,071.52	$1,513.56	$4,168.69