Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $1,995.26 / $14,454.40	Facility		$1,479.11	$1,995.26	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,096.48 / $1,862.09	Professional		$912.01	$1,096.48	$1,862.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $4,570.88 / $7,079.46	Facility		$2,344.23	$4,570.88	$7,079.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,905.46 / $4,570.88	Professional		$954.99	$1,905.46	$4,570.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $3,019.95 / $4,897.79	Facility		$2,630.27	$3,019.95	$4,897.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $2,630.27 / $3,630.78	Professional		$1,174.90	$2,630.27	$3,630.78
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $3,162.28 / $5,754.40	Facility		$954.99	$3,162.28	$5,754.40
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,398.83 / $2,884.03	Professional		$1,778.28	$2,398.83	$2,884.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,445.44 / $2,754.23	Facility		$954.99	$1,445.44	$2,754.23
Medica Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,905.46 / $7,244.36	Professional		$933.25	$1,905.46	$7,244.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $85.11	Professional		$32.36	$33.11	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,995.26 / $3,019.95	Professional		$933.25	$1,995.26	$3,019.95
Quartz Facility/Professional Facility Modifier Low / Median / High Price $4,677.35 / $6,918.31 / $6,918.31	Facility		$4,677.35	$6,918.31	$6,918.31
Quartz Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $4,677.35 / $7,079.46	Professional		$977.24	$4,677.35	$7,079.46
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,570.88 / $4,570.88 / $4,570.88	Professional		$4,570.88	$4,570.88	$4,570.88
Security Health Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $3,715.35 / $3,715.35	Facility		$3,715.35	$3,715.35	$3,715.35
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,235.94 / $9,549.93 / $9,549.93	Professional		$3,235.94	$9,549.93	$9,549.93
United Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,584.89 / $2,187.76	Facility		$1,023.29	$1,584.89	$2,187.76
United Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,621.81 / $4,073.80	Professional		$891.25	$1,621.81	$4,073.80