Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $2,630.27 / $14,454.40	Facility		$1,949.84	$2,630.27	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,479.11 / $2,454.71	Professional		$1,202.26	$1,479.11	$2,454.71
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 $1,148.15 / $2,511.89 / $6,309.57	Professional		$1,148.15	$2,511.89	$6,309.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $3,981.07 / $6,309.57	Facility		$3,388.44	$3,981.07	$6,309.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $3,388.44 / $6,309.57	Professional		$1,513.56	$3,388.44	$6,309.57
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $2,754.23 / $4,786.30	Facility		$1,288.25	$2,754.23	$4,786.30
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $3,162.28 / $3,715.35	Professional		$2,290.87	$3,162.28	$3,715.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $4,786.30 / $11,481.54	Facility		$1,348.96	$4,786.30	$11,481.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $2,454.71 / $9,549.93	Professional		$1,230.27	$2,454.71	$9,549.93
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 $1,230.27 / $2,630.27 / $4,073.80	Professional		$1,230.27	$2,630.27	$4,073.80
Quartz Facility/Professional Facility Modifier Low / Median / High Price $6,165.95 / $8,912.51 / $8,912.51	Facility		$6,165.95	$8,912.51	$8,912.51
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $6,025.60 / $9,120.11	Professional		$1,230.27	$6,025.60	$9,120.11
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,456.54 / $6,456.54 / $6,456.54	Professional		$6,456.54	$6,456.54	$6,456.54
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 $4,677.35 / $12,302.69 / $12,302.69	Professional		$4,677.35	$12,302.69	$12,302.69
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 $1,096.48 / $2,041.74 / $5,248.07	Professional		$1,096.48	$2,041.74	$5,248.07