Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $2,570.40 / $14,454.40	Facility		$1,380.38	$2,570.40	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,412.54 / $2,570.40	Professional		$1,174.90	$1,412.54	$2,570.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $8,128.31 / $13,803.84	Facility		$5,011.87	$8,128.31	$13,803.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $2,344.23 / $6,165.95	Professional		$1,230.27	$2,344.23	$6,165.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $3,715.35 / $6,025.60	Facility		$3,235.94	$3,715.35	$6,025.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $2,818.38 / $5,248.07	Professional		$1,348.96	$2,818.38	$5,248.07
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,698.24 / $8,128.31	Facility		$1,202.26	$1,698.24	$8,128.31
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,691.53 / $4,265.80	Professional		$2,187.76	$2,691.53	$4,265.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,737.80 / $5,754.40	Facility		$1,258.93	$1,737.80	$5,754.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $2,187.76 / $9,332.54	Professional		$1,258.93	$2,187.76	$9,332.54
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 $1,584.89 / $2,884.03 / $4,466.84	Professional		$1,584.89	$2,884.03	$4,466.84
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $11,748.98 / $11,748.98	Facility		$3,235.94	$11,748.98	$11,748.98
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $6,165.95 / $9,120.11	Professional		$1,318.26	$6,165.95	$9,120.11
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,570.88 / $4,570.88 / $4,570.88	Professional		$4,570.88	$4,570.88	$4,570.88
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $4,897.79 / $6,309.57	Professional		$3,162.28	$4,897.79	$6,309.57
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 $1,230.27 / $1,778.28 / $4,786.30	Professional		$1,230.27	$1,778.28	$4,786.30