Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $2,454.71 / $14,454.40	Facility		$1,318.26	$2,454.71	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,230.27 / $3,019.95	Professional		$1,071.52	$1,230.27	$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 $1,174.90 / $2,290.87 / $5,495.41	Professional		$1,174.90	$2,290.87	$5,495.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $3,630.78 / $5,754.40	Facility		$3,090.30	$3,630.78	$5,754.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $3,630.78 / $4,073.80	Professional		$1,778.28	$3,630.78	$4,073.80
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $6,918.31 / $13,489.63	Facility		$1,318.26	$6,918.31	$13,489.63
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,951.21 / $3,630.78	Professional		$2,137.96	$2,951.21	$3,630.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $8,317.64 / $15,848.93	Facility		$1,318.26	$8,317.64	$15,848.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $2,137.96 / $8,912.51	Professional		$1,202.26	$2,137.96	$8,912.51
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 $1,380.38 / $2,691.53 / $3,715.35	Professional		$1,380.38	$2,691.53	$3,715.35
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 $1,778.28 / $5,888.44 / $8,709.64	Professional		$1,778.28	$5,888.44	$8,709.64
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $2,951.21 / $2,951.21	Professional		$2,951.21	$2,951.21	$2,951.21
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $6,456.54 / $6,606.93	Professional		$2,818.38	$6,456.54	$6,606.93
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 $1,122.02 / $1,862.09 / $5,128.61	Professional		$1,122.02	$1,862.09	$5,128.61