Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $2,630.27 / $14,454.40	Facility		$1,380.38	$2,630.27	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,288.25 / $3,235.94	Professional		$1,122.02	$1,288.25	$3,235.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,918.31 / $11,220.18 / $20,892.96	Facility		$6,918.31	$11,220.18	$20,892.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $2,454.71 / $5,888.44	Professional		$1,230.27	$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 $1,949.84 / $3,890.45 / $4,466.84	Professional		$1,949.84	$3,890.45	$4,466.84
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $6,918.31 / $13,489.63	Facility		$1,380.38	$6,918.31	$13,489.63
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $3,162.28 / $3,981.07	Professional		$2,290.87	$3,162.28	$3,981.07
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $10,715.19 / $19,952.62	Facility		$1,412.54	$10,715.19	$19,952.62
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $2,238.72 / $10,715.19	Professional		$1,318.26	$2,238.72	$10,715.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,621.81	Professional		$32.36	$33.11	$1,621.81
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $3,090.30 / $4,265.80	Professional		$1,584.89	$3,090.30	$4,265.80
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 $1,949.84 / $6,165.95 / $10,715.19	Professional		$1,949.84	$6,165.95	$10,715.19
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $3,162.28 / $3,162.28	Professional		$3,162.28	$3,162.28	$3,162.28
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $6,918.31 / $6,918.31	Professional		$3,019.95	$6,918.31	$6,918.31
United Facility/Professional Facility Modifier Low / Median / High Price $8,317.64 / $16,218.10 / $21,379.62	Facility		$8,317.64	$16,218.10	$21,379.62
United Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,949.84 / $5,370.32	Professional		$1,230.27	$1,949.84	$5,370.32