Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $2,570.40 / $14,454.40	Facility		$1,148.15	$2,570.40	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,288.25 / $3,388.44	Professional		$1,096.48	$1,288.25	$3,388.44
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 $1,230.27 / $2,454.71 / $6,309.57	Professional		$1,230.27	$2,454.71	$6,309.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $3,715.35 / $6,309.57	Facility		$3,235.94	$3,715.35	$6,309.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $4,897.79 / $5,495.41	Professional		$1,819.70	$4,897.79	$5,495.41
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $2,041.74 / $5,495.41	Facility		$1,202.26	$2,041.74	$5,495.41
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,951.21 / $3,801.89	Professional		$2,187.76	$2,951.21	$3,801.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $2,511.89 / $15,135.61	Facility		$1,230.27	$2,511.89	$15,135.61
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $2,238.72 / $9,332.54	Professional		$1,318.26	$2,238.72	$9,332.54
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 $1,819.70 / $2,754.23 / $4,168.69	Professional		$1,819.70	$2,754.23	$4,168.69
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 $2,344.23 / $6,025.60 / $9,120.11	Professional		$2,344.23	$6,025.60	$9,120.11
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,265.80 / $4,265.80 / $4,265.80	Professional		$4,265.80	$4,265.80	$4,265.80
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,890.45 / $7,244.36 / $7,943.28	Professional		$3,890.45	$7,244.36	$7,943.28
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 $1,258.93 / $1,905.46 / $5,128.61	Professional		$1,258.93	$1,905.46	$5,128.61