Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $2,454.71 / $14,454.40	Facility		$1,202.26	$2,454.71	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,230.27 / $3,019.95	Professional		$1,122.02	$1,230.27	$3,019.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $10,964.78 / $18,197.01	Facility		$6,606.93	$10,964.78	$18,197.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $2,290.87 / $5,754.40	Professional		$1,174.90	$2,290.87	$5,754.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $3,630.78 / $5,754.40	Facility		$3,090.30	$3,630.78	$5,754.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $3,801.89 / $4,365.16	Professional		$1,698.24	$3,801.89	$4,365.16
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $6,918.31 / $13,489.63	Facility		$1,318.26	$6,918.31	$13,489.63
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,951.21 / $3,715.35	Professional		$2,137.96	$2,951.21	$3,715.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $2,691.53 / $7,943.28	Facility		$1,318.26	$2,691.53	$7,943.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $2,137.96 / $9,549.93	Professional		$1,202.26	$2,137.96	$9,549.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,621.81	Professional		$32.36	$33.11	$1,621.81
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $2,754.23 / $4,677.35	Professional		$1,412.54	$2,754.23	$4,677.35
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $10,964.78 / $10,964.78	Facility		$3,090.30	$10,964.78	$10,964.78
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $5,888.44 / $9,549.93	Professional		$1,621.81	$5,888.44	$9,549.93
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,165.95 / $6,165.95 / $6,165.95	Professional		$6,165.95	$6,165.95	$6,165.95
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,623.41 / $7,079.46 / $8,912.51	Professional		$5,623.41	$7,079.46	$8,912.51
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 $1,148.15 / $1,905.46 / $5,128.61	Professional		$1,148.15	$1,905.46	$5,128.61