Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $2,691.53 / $14,454.40	Facility		$1,202.26	$2,691.53	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,348.96 / $3,548.13	Professional		$1,174.90	$1,348.96	$3,548.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $10,964.78 / $17,378.01	Facility		$6,606.93	$10,964.78	$17,378.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $2,511.89 / $6,456.54	Professional		$1,288.25	$2,511.89	$6,456.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $3,890.45 / $6,309.57	Facility		$3,388.44	$3,890.45	$6,309.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $5,128.61 / $5,754.40	Professional		$1,862.09	$5,128.61	$5,754.40
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $2,137.96 / $5,495.41	Facility		$1,258.93	$2,137.96	$5,495.41
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $3,090.30 / $3,981.07	Professional		$2,290.87	$3,090.30	$3,981.07
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $2,630.27 / $15,135.61	Facility		$1,258.93	$2,630.27	$15,135.61
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $2,344.23 / $9,772.37	Professional		$1,318.26	$2,344.23	$9,772.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $70.79	Professional		$32.36	$33.11	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,884.03 / $4,365.16	Professional		$1,862.09	$2,884.03	$4,365.16
Quartz Facility/Professional Facility Modifier Low / Median / High Price $6,309.57 / $11,748.98 / $17,378.01	Facility		$6,309.57	$11,748.98	$17,378.01
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $6,309.57 / $9,549.93	Professional		$2,454.71	$6,309.57	$9,549.93
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 $4,073.80 / $7,413.10 / $8,317.64	Professional		$4,073.80	$7,413.10	$8,317.64
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 $1,288.25 / $1,995.26 / $5,370.32	Professional		$1,288.25	$1,995.26	$5,370.32