Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $2,630.27 / $14,454.40	Facility		$1,174.90	$2,630.27	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,380.38 / $2,630.27	Professional		$1,174.90	$1,380.38	$2,630.27
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 $1,258.93 / $2,454.71 / $6,606.93	Professional		$1,258.93	$2,454.71	$6,606.93
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 $2,089.30 / $5,011.87 / $5,754.40	Professional		$2,089.30	$5,011.87	$5,754.40
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $6,918.31 / $13,489.63	Facility		$1,380.38	$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 $1,380.38 / $2,818.38 / $7,943.28	Facility		$1,380.38	$2,818.38	$7,943.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $2,290.87 / $12,302.69	Professional		$1,412.54	$2,290.87	$12,302.69
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 $1,778.28 / $3,467.37 / $5,495.41	Professional		$1,778.28	$3,467.37	$5,495.41
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $16,982.44 / $16,982.44	Facility		$3,311.31	$16,982.44	$16,982.44
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $6,165.95 / $12,589.25	Professional		$2,344.23	$6,165.95	$12,589.25
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,466.84 / $4,466.84 / $4,466.84	Professional		$4,466.84	$4,466.84	$4,466.84
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,168.69 / $7,413.10 / $8,912.51	Professional		$4,168.69	$7,413.10	$8,912.51
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 $1,258.93 / $2,089.30 / $5,495.41	Professional		$1,258.93	$2,089.30	$5,495.41