Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $2,818.38 / $14,454.40	Facility		$2,089.30	$2,818.38	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,513.56 / $2,691.53	Professional		$1,258.93	$1,513.56	$2,691.53
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 $1,230.27 / $2,691.53 / $6,760.83	Professional		$1,230.27	$2,691.53	$6,760.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $4,365.16 / $6,918.31	Facility		$3,715.35	$4,365.16	$6,918.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $3,715.35 / $6,918.31	Professional		$1,621.81	$3,715.35	$6,918.31
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $4,168.69 / $7,413.10	Facility		$1,513.56	$4,168.69	$7,413.10
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $3,388.44 / $4,073.80	Professional		$2,511.89	$3,388.44	$4,073.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $5,248.07 / $11,481.54	Facility		$1,513.56	$5,248.07	$11,481.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $2,630.27 / $11,220.18	Professional		$1,288.25	$2,630.27	$11,220.18
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 $1,348.96 / $2,884.03 / $4,466.84	Professional		$1,348.96	$2,884.03	$4,466.84
Quartz Facility/Professional Facility Modifier Low / Median / High Price $6,165.95 / $9,332.54 / $9,332.54	Facility		$6,165.95	$9,332.54	$9,332.54
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $6,456.54 / $11,220.18	Professional		$1,258.93	$6,456.54	$11,220.18
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,606.93 / $6,606.93 / $6,606.93	Professional		$6,606.93	$6,606.93	$6,606.93
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 $5,011.87 / $13,489.63 / $13,489.63	Professional		$5,011.87	$13,489.63	$13,489.63
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 $1,174.90 / $2,187.76 / $5,623.41	Professional		$1,174.90	$2,187.76	$5,623.41