Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $2,290.87 / $14,454.40	Facility		$1,122.02	$2,290.87	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,230.27 / $2,818.38	Professional		$1,047.13	$1,230.27	$2,818.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $10,232.93 / $18,197.01	Facility		$3,162.28	$10,232.93	$18,197.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $2,137.96 / $5,370.32	Professional		$1,096.48	$2,137.96	$5,370.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $3,311.31 / $5,370.32	Facility		$2,884.03	$3,311.31	$5,370.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $3,548.13 / $3,981.07	Professional		$1,513.56	$3,548.13	$3,981.07
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $2,454.71 / $4,786.30	Facility		$1,230.27	$2,454.71	$4,786.30
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,754.23 / $3,388.44	Professional		$1,995.26	$2,754.23	$3,388.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $2,398.83 / $4,466.84	Facility		$1,122.02	$2,398.83	$4,466.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,905.46 / $8,317.64	Professional		$1,148.15	$1,905.46	$8,317.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,380.38	Professional		$32.36	$33.11	$1,380.38
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $2,754.23 / $4,466.84	Professional		$1,412.54	$2,754.23	$4,466.84
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $7,943.28 / $7,943.28	Facility		$2,884.03	$7,943.28	$7,943.28
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $5,495.41 / $8,128.31	Professional		$1,513.56	$5,495.41	$8,128.31
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 $4,897.79 / $6,606.93 / $8,128.31	Professional		$4,897.79	$6,606.93	$8,128.31
United Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $2,818.38 / $4,677.35	Facility		$2,041.74	$2,818.38	$4,677.35
United Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,819.70 / $4,786.30	Professional		$1,096.48	$1,819.70	$4,786.30