Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $2,630.27 / $14,454.40	Facility		$1,412.54	$2,630.27	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,318.26 / $3,235.94	Professional		$1,148.15	$1,318.26	$3,235.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,022.64 / $16,982.44 / $29,512.09	Facility		$12,022.64	$16,982.44	$29,512.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $2,511.89 / $5,888.44	Professional		$1,258.93	$2,511.89	$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 $1,412.54 / $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 / $3,162.28 / $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 / $8,317.64 / $15,848.93	Facility		$1,412.54	$8,317.64	$15,848.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $2,290.87 / $9,772.37	Professional		$1,288.25	$2,290.87	$9,772.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,737.80	Professional		$32.36	$33.11	$1,737.80
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $2,884.03 / $4,073.80	Professional		$1,479.11	$2,884.03	$4,073.80
Quartz Facility/Professional Facility Modifier Low / Median / High Price $10,715.19 / $16,218.10 / $16,218.10	Facility		$10,715.19	$16,218.10	$16,218.10
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $6,309.57 / $9,332.54	Professional		$1,949.84	$6,309.57	$9,332.54
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,235.94 / $3,235.94 / $3,235.94	Professional		$3,235.94	$3,235.94	$3,235.94
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,388.44 / $6,918.31 / $7,079.46	Professional		$3,388.44	$6,918.31	$7,079.46
United Facility/Professional Facility Modifier Low / Median / High Price $7,585.78 / $12,302.69 / $16,595.87	Facility		$7,585.78	$12,302.69	$16,595.87
United Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $2,041.74 / $5,495.41	Professional		$1,230.27	$2,041.74	$5,495.41