Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,778.28 / $14,454.40	Facility		$1,288.25	$1,778.28	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $933.25 / $1,621.81	Professional		$794.33	$933.25	$1,621.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $10,964.78 / $18,197.01	Facility		$6,606.93	$10,964.78	$18,197.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,659.59 / $4,073.80	Professional		$831.76	$1,659.59	$4,073.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $2,630.27 / $4,265.80	Facility		$2,238.72	$2,630.27	$4,265.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $2,290.87 / $3,162.28	Professional		$1,023.29	$2,290.87	$3,162.28
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $3,235.94 / $7,413.10	Facility		$933.25	$3,235.94	$7,413.10
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $2,137.96 / $2,511.89	Professional		$1,584.89	$2,137.96	$2,511.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $4,073.80 / $8,709.64	Facility		$933.25	$4,073.80	$8,709.64
Medica Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,698.24 / $6,309.57	Professional		$831.76	$1,698.24	$6,309.57
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 $812.83 / $1,698.24 / $2,630.27	Professional		$812.83	$1,698.24	$2,630.27
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 $870.96 / $4,168.69 / $6,165.95	Professional		$870.96	$4,168.69	$6,165.95
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,981.07 / $3,981.07 / $3,981.07	Professional		$3,981.07	$3,981.07	$3,981.07
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 $3,311.31 / $8,317.64 / $8,317.64	Professional		$3,311.31	$8,317.64	$8,317.64
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 $776.25 / $1,445.44 / $3,630.78	Professional		$776.25	$1,445.44	$3,630.78