Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $2,691.53 / $14,454.40	Facility		$1,412.54	$2,691.53	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,445.44 / $3,235.94	Professional		$1,202.26	$1,445.44	$3,235.94
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 $1,288.25 / $2,454.71 / $5,888.44	Professional		$1,288.25	$2,454.71	$5,888.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $3,890.45 / $6,165.95	Facility		$3,311.31	$3,890.45	$6,165.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $4,168.69 / $4,677.35	Professional		$1,862.09	$4,168.69	$4,677.35
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $6,918.31 / $13,489.63	Facility		$1,412.54	$6,918.31	$13,489.63
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $3,235.94 / $3,981.07	Professional		$2,290.87	$3,235.94	$3,981.07
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $2,754.23 / $7,943.28	Facility		$1,412.54	$2,754.23	$7,943.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $2,344.23 / $9,772.37	Professional		$1,318.26	$2,344.23	$9,772.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,778.28	Professional		$32.36	$33.11	$1,778.28
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,951.21 / $4,073.80	Professional		$1,513.56	$2,951.21	$4,073.80
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $11,748.98 / $11,748.98	Facility		$3,311.31	$11,748.98	$11,748.98
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $6,456.54 / $9,549.93	Professional		$1,778.28	$6,456.54	$9,549.93
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,548.13 / $3,548.13 / $3,548.13	Professional		$3,548.13	$3,548.13	$3,548.13
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,630.78 / $6,309.57 / $6,309.57	Professional		$3,630.78	$6,309.57	$6,309.57
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 $1,258.93 / $2,137.96 / $5,623.41	Professional		$1,258.93	$2,137.96	$5,623.41