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 $1,122.02 / $1,230.27 / $2,951.21	Professional		$1,122.02	$1,230.27	$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 / $2,290.87 / $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 / $3,548.13 / $5,754.40	Facility		$3,090.30	$3,548.13	$5,754.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $3,801.89 / $4,265.80	Professional		$1,698.24	$3,801.89	$4,265.80
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $6,760.83 / $13,489.63	Facility		$1,288.25	$6,760.83	$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 / $2,818.38 / $7,943.28	Facility		$1,288.25	$2,818.38	$7,943.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $2,137.96 / $8,912.51	Professional		$1,202.26	$2,137.96	$8,912.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,584.89	Professional		$32.36	$33.11	$1,584.89
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 / $5,888.44 / $8,511.38	Professional		$1,584.89	$5,888.44	$8,511.38
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 $3,388.44 / $7,079.46 / $8,709.64	Professional		$3,388.44	$7,079.46	$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 / $5,128.61	Professional		$1,148.15	$1,949.84	$5,128.61