Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $2,818.38 / $14,454.40	Facility		$1,318.26	$2,818.38	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,412.54 / $3,715.35	Professional		$1,258.93	$1,412.54	$3,715.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $8,128.31 / $13,489.63	Facility		$5,011.87	$8,128.31	$13,489.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $2,754.23 / $6,760.83	Professional		$1,348.96	$2,754.23	$6,760.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $4,073.80 / $6,606.93	Facility		$3,548.13	$4,073.80	$6,606.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $5,495.41 / $6,309.57	Professional		$1,905.46	$5,495.41	$6,309.57
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $2,818.38 / $10,000.00	Facility		$1,348.96	$2,818.38	$10,000.00
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $3,235.94 / $4,168.69	Professional		$2,454.71	$3,235.94	$4,168.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $2,818.38 / $15,135.61	Facility		$1,348.96	$2,818.38	$15,135.61
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $2,454.71 / $10,232.93	Professional		$1,380.38	$2,454.71	$10,232.93
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 $1,995.26 / $3,019.95 / $4,570.88	Professional		$1,995.26	$3,019.95	$4,570.88
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $25,118.86 / $25,118.86	Facility		$3,467.37	$25,118.86	$25,118.86
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $6,606.93 / $10,000.00	Professional		$2,398.83	$6,606.93	$10,000.00
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 Professional Modifier Low / Median / High Price $3,801.89 / $7,585.78 / $8,709.64	Professional		$3,801.89	$7,585.78	$8,709.64
United Facility/Professional Facility Modifier Low / Median / High Price $8,912.51 / $13,803.84 / $17,782.79	Facility		$8,912.51	$13,803.84	$17,782.79
United Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $2,041.74 / $5,623.41	Professional		$1,318.26	$2,041.74	$5,623.41