Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $3,235.94 / $14,454.40	Facility		$1,548.82	$3,235.94	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,584.89 / $5,128.61	Professional		$1,412.54	$1,584.89	$5,128.61
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 $1,584.89 / $3,162.28 / $7,762.47	Professional		$1,584.89	$3,162.28	$7,762.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $4,786.30 / $7,585.78	Facility		$4,073.80	$4,786.30	$7,585.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $6,309.57 / $7,244.36	Professional		$1,995.26	$6,309.57	$7,244.36
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $3,235.94 / $9,772.37	Facility		$1,548.82	$3,235.94	$9,772.37
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $3,715.35 / $4,786.30	Professional		$2,754.23	$3,715.35	$4,786.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $3,235.94 / $13,489.63	Facility		$1,548.82	$3,235.94	$13,489.63
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $2,754.23 / $13,803.84	Professional		$1,584.89	$2,754.23	$13,803.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $70.79	Professional		$32.36	$33.11	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $3,311.31 / $5,011.87	Professional		$2,187.76	$3,311.31	$5,011.87
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $14,125.38 / $14,125.38	Facility		$3,981.07	$14,125.38	$14,125.38
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $7,585.78 / $13,803.84	Professional		$2,754.23	$7,585.78	$13,803.84
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,128.61 / $5,128.61 / $5,128.61	Professional		$5,128.61	$5,128.61	$5,128.61
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,365.16 / $8,709.64 / $10,000.00	Professional		$4,365.16	$8,709.64	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $7,585.78 / $12,302.69 / $16,218.10	Facility		$7,585.78	$12,302.69	$16,218.10
United Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,344.23 / $6,456.54	Professional		$1,548.82	$2,344.23	$6,456.54