Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $2,818.38 / $14,454.40	Facility		$1,258.93	$2,818.38	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,479.11 / $2,818.38	Professional		$1,258.93	$1,479.11	$2,818.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,748.98 / $16,218.10 / $27,542.29	Facility		$11,748.98	$16,218.10	$27,542.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $2,630.27 / $7,079.46	Professional		$1,318.26	$2,630.27	$7,079.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $4,168.69 / $6,606.93	Facility		$3,548.13	$4,168.69	$6,606.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $5,370.32 / $6,165.95	Professional		$2,238.72	$5,370.32	$6,165.95
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $6,918.31 / $13,489.63	Facility		$1,479.11	$6,918.31	$13,489.63
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $3,388.44 / $4,265.80	Professional		$2,454.71	$3,388.44	$4,265.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $2,951.21 / $7,943.28	Facility		$1,479.11	$2,951.21	$7,943.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $2,454.71 / $16,218.10	Professional		$1,445.44	$2,454.71	$16,218.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,905.46	Professional		$32.36	$33.11	$1,905.46
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $3,801.89 / $5,888.44	Professional		$2,041.74	$3,801.89	$5,888.44
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $19,498.45 / $19,498.45	Facility		$3,548.13	$19,498.45	$19,498.45
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $6,606.93 / $16,218.10	Professional		$2,511.89	$6,606.93	$16,218.10
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,786.30 / $4,786.30 / $4,786.30	Professional		$4,786.30	$4,786.30	$4,786.30
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,466.84 / $7,943.28 / $9,332.54	Professional		$4,466.84	$7,943.28	$9,332.54
United Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $6,165.95 / $19,498.45	Facility		$2,290.87	$6,165.95	$19,498.45
United Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $2,290.87 / $6,025.60	Professional		$1,348.96	$2,290.87	$6,025.60