Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $2,511.89 / $14,454.40	Facility		$1,230.27	$2,511.89	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,258.93 / $3,090.30	Professional		$1,148.15	$1,258.93	$3,090.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $8,317.64 / $13,489.63	Facility		$5,011.87	$8,317.64	$13,489.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $2,344.23 / $5,888.44	Professional		$1,202.26	$2,344.23	$5,888.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $3,715.35 / $5,888.44	Facility		$3,162.28	$3,715.35	$5,888.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $3,890.45 / $4,466.84	Professional		$1,737.80	$3,890.45	$4,466.84
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $6,760.83 / $13,489.63	Facility		$1,348.96	$6,760.83	$13,489.63
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $3,019.95 / $3,801.89	Professional		$2,187.76	$3,019.95	$3,801.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $2,818.38 / $7,943.28	Facility		$1,348.96	$2,818.38	$7,943.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $2,187.76 / $9,772.37	Professional		$1,230.27	$2,187.76	$9,772.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,659.59	Professional		$32.36	$33.11	$1,659.59
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $2,818.38 / $4,786.30	Professional		$1,445.44	$2,818.38	$4,786.30
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $11,220.18 / $11,220.18	Facility		$3,162.28	$11,220.18	$11,220.18
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $6,025.60 / $9,772.37	Professional		$1,659.59	$6,025.60	$9,772.37
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,309.57 / $6,309.57 / $6,309.57	Professional		$6,309.57	$6,309.57	$6,309.57
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,754.40 / $7,244.36 / $8,912.51	Professional		$5,754.40	$7,244.36	$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 $1,174.90 / $1,995.26 / $5,248.07	Professional		$1,174.90	$1,995.26	$5,248.07