Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $2,818.38 / $14,454.40	Facility		$1,348.96	$2,818.38	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,412.54 / $3,630.78	Professional		$1,258.93	$1,412.54	$3,630.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,585.78 / $15,135.61 / $26,302.68	Facility		$7,585.78	$15,135.61	$26,302.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $2,818.38 / $7,244.36	Professional		$1,318.26	$2,818.38	$7,244.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $4,168.69 / $6,760.83	Facility		$3,630.78	$4,168.69	$6,760.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $5,754.40 / $7,079.46	Professional		$1,778.28	$5,754.40	$7,079.46
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $2,691.53 / $5,754.40	Facility		$1,348.96	$2,691.53	$5,754.40
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $3,311.31 / $4,265.80	Professional		$2,454.71	$3,311.31	$4,265.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $2,818.38 / $11,481.54	Facility		$1,412.54	$2,818.38	$11,481.54
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 $2,089.30 / $3,162.28 / $4,786.30	Professional		$2,089.30	$3,162.28	$4,786.30
Quartz Facility/Professional Facility Modifier Low / Median / High Price $13,489.63 / $19,952.62 / $19,952.62	Facility		$13,489.63	$19,952.62	$19,952.62
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 $4,570.88 / $4,570.88 / $4,570.88	Professional		$4,570.88	$4,570.88	$4,570.88
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,715.35 / $7,762.47 / $8,709.64	Professional		$3,715.35	$7,762.47	$8,709.64
United Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $10,232.93 / $14,454.40	Facility		$6,606.93	$10,232.93	$14,454.40
United Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $2,041.74 / $5,623.41	Professional		$1,348.96	$2,041.74	$5,623.41