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 $1,148.15 / $1,380.38 / $2,570.40	Professional		$1,148.15	$1,380.38	$2,570.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $7,943.28 / $12,589.25	Facility		$5,011.87	$7,943.28	$12,589.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $2,344.23 / $6,025.60	Professional		$1,202.26	$2,344.23	$6,025.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $3,801.89 / $6,025.60	Facility		$3,235.94	$3,801.89	$6,025.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $2,754.23 / $5,248.07	Professional		$1,318.26	$2,754.23	$5,248.07
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,584.89 / $8,511.38	Facility		$1,096.48	$1,584.89	$8,511.38
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,691.53 / $4,168.69	Professional		$2,187.76	$2,691.53	$4,168.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,659.59 / $5,888.44	Facility		$1,148.15	$1,659.59	$5,888.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $2,089.30 / $9,332.54	Professional		$1,202.26	$2,089.30	$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 $1,621.81 / $2,951.21 / $4,570.88	Professional		$1,621.81	$2,951.21	$4,570.88
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $13,182.57 / $13,182.57	Facility		$3,235.94	$13,182.57	$13,182.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $6,025.60 / $9,120.11	Professional		$1,258.93	$6,025.60	$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 $3,890.45 / $4,786.30 / $6,309.57	Professional		$3,890.45	$4,786.30	$6,309.57
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $4,897.79 / $19,498.45	Facility		$1,995.26	$4,897.79	$19,498.45
United Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,698.24 / $4,677.35	Professional		$1,174.90	$1,698.24	$4,677.35