Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $2,344.23 / $14,454.40	Facility		$1,698.24	$2,344.23	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,348.96 / $2,398.83	Professional		$1,071.52	$1,348.96	$2,398.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $8,317.64 / $14,125.38	Facility		$5,011.87	$8,317.64	$14,125.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $2,187.76 / $5,495.41	Professional		$1,122.02	$2,187.76	$5,495.41
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 / $3,715.35 / $4,168.69	Professional		$1,905.46	$3,715.35	$4,168.69
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $4,265.80 / $10,232.93	Facility		$1,202.26	$4,265.80	$10,232.93
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,818.38 / $3,388.44	Professional		$2,089.30	$2,818.38	$3,388.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $4,265.80 / $11,481.54	Facility		$1,258.93	$4,265.80	$11,481.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $2,290.87 / $8,511.38	Professional		$1,122.02	$2,290.87	$8,511.38
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 $1,071.52 / $2,290.87 / $3,548.13	Professional		$1,071.52	$2,290.87	$3,548.13
Quartz Facility/Professional Facility Modifier Low / Median / High Price $6,165.95 / $9,120.11 / $9,120.11	Facility		$6,165.95	$9,120.11	$9,120.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5,623.41 / $8,317.64 / $8,317.64	Professional		$5,623.41	$8,317.64	$8,317.64
Security Health Facility/Professional Facility Modifier Low / Median / High Price $5,128.61 / $5,128.61 / $5,128.61	Facility		$5,128.61	$5,128.61	$5,128.61
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,365.16 / $11,220.18 / $11,220.18	Professional		$4,365.16	$11,220.18	$11,220.18
United Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $10,232.93 / $13,182.57	Facility		$6,606.93	$10,232.93	$13,182.57
United Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,862.09 / $4,897.79	Professional		$1,071.52	$1,862.09	$4,897.79