Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $2,187.76 / $14,454.40	Facility		$1,174.90	$2,187.76	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,202.26 / $2,238.72	Professional		$1,000.00	$1,202.26	$2,238.72
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 $1,047.13 / $1,995.26 / $5,128.61	Professional		$1,047.13	$1,995.26	$5,128.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $3,235.94 / $5,128.61	Facility		$2,754.23	$3,235.94	$5,128.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $2,398.83 / $4,466.84	Professional		$1,122.02	$2,398.83	$4,466.84
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,412.54 / $8,128.31	Facility		$1,023.29	$1,412.54	$8,128.31
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,290.87 / $3,630.78	Professional		$1,862.09	$2,290.87	$3,630.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,479.11 / $5,754.40	Facility		$1,071.52	$1,479.11	$5,754.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,862.09 / $8,128.31	Professional		$1,071.52	$1,862.09	$8,128.31
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 $1,348.96 / $2,454.71 / $3,801.89	Professional		$1,348.96	$2,454.71	$3,801.89
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $11,220.18 / $11,220.18	Facility		$2,754.23	$11,220.18	$11,220.18
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $5,248.07 / $7,943.28	Professional		$1,096.48	$5,248.07	$7,943.28
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,890.45 / $3,890.45 / $3,890.45	Professional		$3,890.45	$3,890.45	$3,890.45
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $4,168.69 / $5,370.32	Professional		$2,754.23	$4,168.69	$5,370.32
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 $1,047.13 / $1,513.56 / $4,073.80	Professional		$1,047.13	$1,513.56	$4,073.80