Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $3,090.30 / $14,454.40	Facility		$1,513.56	$3,090.30	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,659.59 / $3,890.45	Professional		$1,445.44	$1,659.59	$3,890.45
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 $1,479.11 / $2,884.03 / $7,244.36	Professional		$1,479.11	$2,884.03	$7,244.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $4,466.84 / $7,244.36	Facility		$3,890.45	$4,466.84	$7,244.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $4,786.30 / $5,495.41	Professional		$2,041.74	$4,786.30	$5,495.41
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $6,918.31 / $13,489.63	Facility		$1,659.59	$6,918.31	$13,489.63
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $3,715.35 / $4,677.35	Professional		$2,691.53	$3,715.35	$4,677.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $2,951.21 / $7,943.28	Facility		$1,659.59	$2,951.21	$7,943.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,570.40 / $11,481.54	Professional		$1,548.82	$2,570.40	$11,481.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,905.46	Professional		$32.36	$33.11	$1,905.46
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $3,715.35 / $6,025.60	Professional		$1,905.46	$3,715.35	$6,025.60
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $22,908.68 / $22,908.68	Facility		$3,890.45	$22,908.68	$22,908.68
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $7,413.10 / $11,220.18	Professional		$2,041.74	$7,413.10	$11,220.18
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7,762.47 / $7,762.47 / $7,762.47	Professional		$7,762.47	$7,762.47	$7,762.47
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,918.31 / $8,912.51 / $11,220.18	Professional		$6,918.31	$8,912.51	$11,220.18
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 $1,479.11 / $2,398.83 / $6,456.54	Professional		$1,479.11	$2,398.83	$6,456.54