Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $2,344.23 / $14,454.40	Facility		$1,230.27	$2,344.23	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,348.96 / $4,677.35	Professional		$1,023.29	$1,348.96	$4,677.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $10,964.78 / $18,197.01	Facility		$6,606.93	$10,964.78	$18,197.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $2,187.76 / $5,128.61	Professional		$1,096.48	$2,187.76	$5,128.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $3,467.37 / $5,495.41	Facility		$2,951.21	$3,467.37	$5,495.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $3,467.37 / $3,890.45	Professional		$1,698.24	$3,467.37	$3,890.45
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $6,918.31 / $13,489.63	Facility		$1,230.27	$6,918.31	$13,489.63
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,818.38 / $3,467.37	Professional		$1,995.26	$2,818.38	$3,467.37
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $6,309.57 / $12,302.69	Facility		$1,230.27	$6,309.57	$12,302.69
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,995.26 / $8,511.38	Professional		$1,122.02	$1,995.26	$8,511.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,548.82	Professional		$32.36	$33.11	$1,548.82
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $2,570.40 / $3,548.13	Professional		$1,318.26	$2,570.40	$3,548.13
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $9,120.11 / $9,120.11	Facility		$2,884.03	$9,120.11	$9,120.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $5,623.41 / $8,317.64	Professional		$1,698.24	$5,623.41	$8,317.64
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $2,818.38 / $2,818.38	Professional		$2,818.38	$2,818.38	$2,818.38
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $6,165.95 / $6,165.95	Professional		$2,691.53	$6,165.95	$6,165.95
United Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $10,232.93 / $12,589.25	Facility		$4,265.80	$10,232.93	$12,589.25
United Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,778.28 / $4,897.79	Professional		$1,071.52	$1,778.28	$4,897.79