Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,819.70 / $14,454.40	Facility		$1,318.26	$1,819.70	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $954.99 / $1,659.59	Professional		$812.83	$954.99	$1,659.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,165.95 / $10,232.93 / $17,378.01	Facility		$6,165.95	$10,232.93	$17,378.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,698.24 / $4,168.69	Professional		$851.14	$1,698.24	$4,168.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $2,754.23 / $4,365.16	Facility		$2,344.23	$2,754.23	$4,365.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $2,344.23 / $3,235.94	Professional		$1,047.13	$2,344.23	$3,235.94
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $3,311.31 / $6,918.31	Facility		$954.99	$3,311.31	$6,918.31
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,187.76 / $2,570.40	Professional		$1,621.81	$2,187.76	$2,570.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $4,073.80 / $8,709.64	Facility		$954.99	$4,073.80	$8,709.64
Medica Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,737.80 / $6,606.93	Professional		$851.14	$1,737.80	$6,606.93
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 $851.14 / $1,778.28 / $2,754.23	Professional		$851.14	$1,778.28	$2,754.23
Quartz Facility/Professional Facility Modifier Low / Median / High Price $8,128.31 / $11,748.98 / $11,748.98	Facility		$8,128.31	$11,748.98	$11,748.98
Quartz Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $4,265.80 / $6,309.57	Professional		$891.25	$4,265.80	$6,309.57
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,073.80 / $4,073.80 / $4,073.80	Professional		$4,073.80	$4,073.80	$4,073.80
Security Health Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $6,606.93 / $6,606.93	Facility		$6,606.93	$6,606.93	$6,606.93
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,388.44 / $8,511.38 / $8,511.38	Professional		$3,388.44	$8,511.38	$8,511.38
United Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $7,413.10 / $9,120.11	Facility		$4,897.79	$7,413.10	$9,120.11
United Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,445.44 / $3,715.35	Professional		$794.33	$1,445.44	$3,715.35