Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $2,344.23 / $14,454.40	Facility		$1,148.15	$2,344.23	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,174.90 / $2,818.38	Professional		$1,071.52	$1,174.90	$2,818.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $10,964.78 / $19,054.61	Facility		$6,606.93	$10,964.78	$19,054.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $2,187.76 / $5,495.41	Professional		$1,122.02	$2,187.76	$5,495.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $3,388.44 / $5,495.41	Facility		$2,884.03	$3,388.44	$5,495.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $3,630.78 / $4,073.80	Professional		$1,621.81	$3,630.78	$4,073.80
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $6,760.83 / $13,489.63	Facility		$1,230.27	$6,760.83	$13,489.63
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,818.38 / $3,467.37	Professional		$1,995.26	$2,818.38	$3,467.37
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $2,818.38 / $7,943.28	Facility		$1,230.27	$2,818.38	$7,943.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $2,041.74 / $8,511.38	Professional		$1,148.15	$2,041.74	$8,511.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,513.56	Professional		$32.36	$33.11	$1,513.56
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $2,570.40 / $4,365.16	Professional		$1,318.26	$2,570.40	$4,365.16
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $10,232.93 / $10,232.93	Facility		$2,884.03	$10,232.93	$10,232.93
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $5,495.41 / $8,317.64	Professional		$1,548.82	$5,495.41	$8,317.64
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,754.40 / $5,754.40 / $5,754.40	Professional		$5,754.40	$5,754.40	$5,754.40
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $6,606.93 / $8,317.64	Professional		$2,818.38	$6,606.93	$8,317.64
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 $1,096.48 / $1,862.09 / $4,897.79	Professional		$1,096.48	$1,862.09	$4,897.79