Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $1,995.26 / $14,454.40	Facility		$1,513.56	$1,995.26	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,174.90 / $2,630.27	Professional		$831.76	$1,174.90	$2,630.27
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 $851.14 / $1,949.84 / $4,786.30	Professional		$851.14	$1,949.84	$4,786.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $3,090.30 / $4,897.79	Facility		$2,630.27	$3,090.30	$4,897.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $2,630.27 / $4,897.79	Professional		$1,174.90	$2,630.27	$4,897.79
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $3,715.35 / $7,413.10	Facility		$1,071.52	$3,715.35	$7,413.10
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,454.71 / $2,754.23	Professional		$1,778.28	$2,454.71	$2,754.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $4,073.80 / $8,317.64	Facility		$1,071.52	$4,073.80	$8,317.64
Medica Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,819.70 / $7,413.10	Professional		$891.25	$1,819.70	$7,413.10
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 $977.24 / $2,041.74 / $3,162.28	Professional		$977.24	$2,041.74	$3,162.28
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $6,606.93 / $6,606.93	Facility		$3,981.07	$6,606.93	$6,606.93
Quartz Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $4,466.84 / $7,079.46	Professional		$891.25	$4,466.84	$7,079.46
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 / $9,549.93 / $9,549.93	Professional		$3,162.28	$9,549.93	$9,549.93
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 $831.76 / $1,548.82 / $3,890.45	Professional		$831.76	$1,548.82	$3,890.45