Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $2,884.03 / $14,454.40	Facility		$1,548.82	$2,884.03	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,584.89 / $2,884.03	Professional		$1,318.26	$1,584.89	$2,884.03
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 $1,380.38 / $2,630.27 / $6,918.31	Professional		$1,380.38	$2,630.27	$6,918.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $4,265.80 / $6,760.83	Facility		$3,630.78	$4,265.80	$6,760.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $3,162.28 / $5,888.44	Professional		$1,479.11	$3,162.28	$5,888.44
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,905.46 / $8,128.31	Facility		$1,348.96	$1,905.46	$8,128.31
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $3,090.30 / $4,786.30	Professional		$2,454.71	$3,090.30	$4,786.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,949.84 / $5,888.44	Facility		$1,412.54	$1,949.84	$5,888.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $2,454.71 / $10,715.19	Professional		$1,412.54	$2,454.71	$10,715.19
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 / $3,235.94 / $5,011.87	Professional		$1,819.70	$3,235.94	$5,011.87
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $13,182.57 / $13,182.57	Facility		$3,630.78	$13,182.57	$13,182.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $6,918.31 / $10,471.29	Professional		$1,479.11	$6,918.31	$10,471.29
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,248.07 / $5,248.07 / $5,248.07	Professional		$5,248.07	$5,248.07	$5,248.07
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,890.45 / $5,370.32 / $7,079.46	Professional		$3,890.45	$5,370.32	$7,079.46
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 $1,380.38 / $1,995.26 / $5,370.32	Professional		$1,380.38	$1,995.26	$5,370.32