Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,862.09 / $14,454.40	Facility		$1,380.38	$1,862.09	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,000.00 / $1,737.80	Professional		$794.33	$1,000.00	$1,737.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $4,786.30 / $7,585.78	Facility		$3,311.31	$4,786.30	$7,585.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,778.28 / $4,365.16	Professional		$776.25	$1,778.28	$4,365.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $2,818.38 / $4,466.84	Facility		$2,398.83	$2,818.38	$4,466.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $2,398.83 / $4,466.84	Professional		$1,071.52	$2,398.83	$4,466.84
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $3,162.28 / $5,754.40	Facility		$977.24	$3,162.28	$5,754.40
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,238.72 / $2,511.89	Professional		$1,659.59	$2,238.72	$2,511.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $4,073.80 / $8,317.64	Facility		$977.24	$4,073.80	$8,317.64
Medica Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,659.59 / $6,760.83	Professional		$812.83	$1,659.59	$6,760.83
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 $891.25 / $1,862.09 / $2,884.03	Professional		$891.25	$1,862.09	$2,884.03
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $6,025.60 / $6,025.60	Facility		$3,981.07	$6,025.60	$6,025.60
Quartz Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $4,073.80 / $6,456.54	Professional		$831.76	$4,073.80	$6,456.54
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,365.16 / $4,365.16 / $4,365.16	Professional		$4,365.16	$4,365.16	$4,365.16
Security Health Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $3,235.94 / $3,235.94	Facility		$3,235.94	$3,235.94	$3,235.94
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $8,912.51 / $8,912.51	Professional		$3,162.28	$8,912.51	$8,912.51
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 $758.58 / $1,412.54 / $3,548.13	Professional		$758.58	$1,412.54	$3,548.13