Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $2,398.83 / $14,454.40	Facility		$1,202.26	$2,398.83	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,202.26 / $2,951.21	Professional		$1,096.48	$1,202.26	$2,951.21
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 $1,174.90 / $2,238.72 / $5,623.41	Professional		$1,174.90	$2,238.72	$5,623.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $3,548.13 / $5,623.41	Facility		$3,019.95	$3,548.13	$5,623.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $3,715.35 / $4,265.80	Professional		$1,698.24	$3,715.35	$4,265.80
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $6,918.31 / $13,489.63	Facility		$1,288.25	$6,918.31	$13,489.63
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,884.03 / $3,630.78	Professional		$2,089.30	$2,884.03	$3,630.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $2,691.53 / $7,943.28	Facility		$1,288.25	$2,691.53	$7,943.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $2,187.76 / $9,120.11	Professional		$1,202.26	$2,187.76	$9,120.11
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 $1,380.38 / $2,691.53 / $4,570.88	Professional		$1,380.38	$2,691.53	$4,570.88
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $10,715.19 / $10,715.19	Facility		$3,019.95	$10,715.19	$10,715.19
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $5,754.40 / $9,120.11	Professional		$1,584.89	$5,754.40	$9,120.11
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,025.60 / $6,025.60 / $6,025.60	Professional		$6,025.60	$6,025.60	$6,025.60
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,623.41 / $6,918.31 / $8,709.64	Professional		$5,623.41	$6,918.31	$8,709.64
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 $1,148.15 / $1,949.84 / $5,011.87	Professional		$1,148.15	$1,949.84	$5,011.87