Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $2,398.83 / $14,454.40	Facility		$1,071.52	$2,398.83	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,230.27 / $2,398.83	Professional		$1,071.52	$1,230.27	$2,398.83
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 $1,096.48 / $2,238.72 / $6,025.60	Professional		$1,096.48	$2,238.72	$6,025.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $3,548.13 / $5,623.41	Facility		$3,019.95	$3,548.13	$5,623.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $4,570.88 / $5,248.07	Professional		$1,905.46	$4,570.88	$5,248.07
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $6,918.31 / $13,489.63	Facility		$1,258.93	$6,918.31	$13,489.63
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,884.03 / $3,630.78	Professional		$2,089.30	$2,884.03	$3,630.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $2,818.38 / $7,943.28	Facility		$1,258.93	$2,818.38	$7,943.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $2,041.74 / $11,220.18	Professional		$1,174.90	$2,041.74	$11,220.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,584.89	Professional		$32.36	$33.11	$1,584.89
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $3,162.28 / $5,011.87	Professional		$1,621.81	$3,162.28	$5,011.87
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $14,125.38 / $14,125.38	Facility		$3,019.95	$14,125.38	$14,125.38
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $5,248.07 / $11,220.18	Professional		$2,137.96	$5,248.07	$11,220.18
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,073.80 / $4,073.80 / $4,073.80	Professional		$4,073.80	$4,073.80	$4,073.80
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,715.35 / $6,760.83 / $8,128.31	Professional		$3,715.35	$6,760.83	$8,128.31
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 $1,122.02 / $1,905.46 / $4,786.30	Professional		$1,122.02	$1,905.46	$4,786.30