Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $3,890.45 / $14,454.40	Facility		$2,089.30	$3,890.45	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,137.96 / $3,890.45	Professional		$1,778.28	$2,137.96	$3,890.45
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 $1,862.09 / $3,548.13 / $9,332.54	Professional		$1,862.09	$3,548.13	$9,332.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $5,754.40 / $9,120.11	Facility		$4,897.79	$5,754.40	$9,120.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $4,265.80 / $7,943.28	Professional		$2,041.74	$4,265.80	$7,943.28
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $2,454.71 / $8,511.38	Facility		$1,819.70	$2,454.71	$8,511.38
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $3,311.31 / $4,073.80 / $6,606.93	Professional		$3,311.31	$4,073.80	$6,606.93
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $2,454.71 / $5,754.40	Facility		$1,905.46	$2,454.71	$5,754.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $3,388.44 / $14,454.40	Professional		$1,949.84	$3,388.44	$14,454.40
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 $2,398.83 / $4,365.16 / $6,760.83	Professional		$2,398.83	$4,365.16	$6,760.83
Quartz Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $17,782.79 / $17,782.79	Facility		$4,897.79	$17,782.79	$17,782.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $9,332.54 / $14,125.38	Professional		$1,995.26	$9,332.54	$14,125.38
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,918.31 / $6,918.31 / $6,918.31	Professional		$6,918.31	$6,918.31	$6,918.31
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,888.44 / $7,413.10 / $9,549.93	Professional		$5,888.44	$7,413.10	$9,549.93
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 $1,862.09 / $2,691.53 / $7,244.36	Professional		$1,862.09	$2,691.53	$7,244.36