Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $3,235.94 / $14,454.40	Facility		$1,737.80	$3,235.94	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,778.28 / $3,981.07	Professional		$1,479.11	$1,778.28	$3,981.07
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 $1,584.89 / $3,019.95 / $7,244.36	Professional		$1,584.89	$3,019.95	$7,244.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $4,786.30 / $7,585.78	Facility		$4,073.80	$4,786.30	$7,585.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $5,128.61 / $5,754.40	Professional		$2,290.87	$5,128.61	$5,754.40
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $6,760.83 / $13,489.63	Facility		$1,737.80	$6,760.83	$13,489.63
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $3,981.07 / $4,897.79	Professional		$2,818.38	$3,981.07	$4,897.79
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $3,162.28 / $7,943.28	Facility		$1,698.24	$3,162.28	$7,943.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,884.03 / $12,022.64	Professional		$1,621.81	$2,884.03	$12,022.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $2,137.96	Professional		$32.36	$33.11	$2,137.96
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $3,630.78 / $5,011.87	Professional		$1,862.09	$3,630.78	$5,011.87
Quartz Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $14,454.40 / $14,454.40	Facility		$4,073.80	$14,454.40	$14,454.40
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $7,762.47 / $11,748.98	Professional		$2,187.76	$7,762.47	$11,748.98
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,365.16 / $4,365.16 / $4,365.16	Professional		$4,365.16	$4,365.16	$4,365.16
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,073.80 / $7,762.47 / $7,762.47	Professional		$4,073.80	$7,762.47	$7,762.47
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 $1,548.82 / $2,630.27 / $6,918.31	Professional		$1,548.82	$2,630.27	$6,918.31