Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $2,290.87 / $14,454.40	Facility		$1,230.27	$2,290.87	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,258.93 / $2,290.87	Professional		$1,047.13	$1,258.93	$2,290.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $4,677.35 / $7,079.46	Facility		$2,630.27	$4,677.35	$7,079.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $2,089.30 / $5,495.41	Professional		$1,096.48	$2,089.30	$5,495.41
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 $1,174.90 / $2,511.89 / $4,677.35	Professional		$1,174.90	$2,511.89	$4,677.35
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,412.54 / $8,128.31	Facility		$1,047.13	$1,412.54	$8,128.31
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,398.83 / $3,801.89	Professional		$1,949.84	$2,398.83	$3,801.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,445.44 / $4,786.30	Facility		$1,047.13	$1,445.44	$4,786.30
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,905.46 / $8,511.38	Professional		$1,122.02	$1,905.46	$8,511.38
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 $1,445.44 / $2,570.40 / $3,981.07	Professional		$1,445.44	$2,570.40	$3,981.07
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $10,471.29 / $10,471.29	Facility		$2,884.03	$10,471.29	$10,471.29
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $5,495.41 / $8,317.64	Professional		$1,148.15	$5,495.41	$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 / $4,365.16 / $5,623.41	Professional		$3,548.13	$4,365.16	$5,623.41
United Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $3,630.78 / $6,456.54	Facility		$2,884.03	$3,630.78	$6,456.54
United Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,548.82 / $4,265.80	Professional		$1,096.48	$1,548.82	$4,265.80