Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $4,466.84 / $9,332.54	Facility		$1,318.26	$4,466.84	$9,332.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,318.26 / $3,019.95	Professional		$1,096.48	$1,318.26	$3,019.95
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 $1,202.26 / $2,344.23 / $5,623.41	Professional		$1,202.26	$2,344.23	$5,623.41
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 $1,819.70 / $3,715.35 / $4,168.69	Professional		$1,819.70	$3,715.35	$4,168.69
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $6,918.31 / $13,489.63	Facility		$1,348.96	$6,918.31	$13,489.63
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $3,019.95 / $3,715.35	Professional		$2,187.76	$3,019.95	$3,715.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $7,585.78 / $15,848.93	Facility		$1,348.96	$7,585.78	$15,848.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $2,187.76 / $9,120.11	Professional		$1,230.27	$2,187.76	$9,120.11
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 $1,412.54 / $2,754.23 / $3,801.89	Professional		$1,412.54	$2,754.23	$3,801.89
Quartz Facility/Professional Facility Modifier Low / Median / High Price $7,244.36 / $10,964.78 / $10,964.78	Facility		$7,244.36	$10,964.78	$10,964.78
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $6,025.60 / $8,912.51	Professional		$1,819.70	$6,025.60	$8,912.51
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $3,019.95 / $3,019.95	Professional		$3,019.95	$3,019.95	$3,019.95
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,235.94 / $6,606.93 / $6,760.83	Professional		$3,235.94	$6,606.93	$6,760.83
United Facility/Professional Facility Modifier Low / Median / High Price $7,585.78 / $12,302.69 / $16,218.10	Facility		$7,585.78	$12,302.69	$16,218.10
United Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,905.46 / $5,248.07	Professional		$1,174.90	$1,905.46	$5,248.07