Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $2,570.40 / $14,454.40	Facility		$1,230.27	$2,570.40	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,318.26 / $3,548.13	Professional		$1,174.90	$1,318.26	$3,548.13
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 $1,230.27 / $2,511.89 / $6,165.95	Professional		$1,230.27	$2,511.89	$6,165.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $3,801.89 / $6,025.60	Facility		$3,235.94	$3,801.89	$6,025.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $5,128.61 / $5,754.40	Professional		$1,584.89	$5,128.61	$5,754.40
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $2,454.71 / $10,000.00	Facility		$1,230.27	$2,454.71	$10,000.00
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $3,019.95 / $3,890.45	Professional		$2,238.72	$3,019.95	$3,890.45
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $2,570.40 / $15,135.61	Facility		$1,230.27	$2,570.40	$15,135.61
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $2,290.87 / $11,748.98	Professional		$1,318.26	$2,290.87	$11,748.98
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 $1,862.09 / $2,818.38 / $4,265.80	Professional		$1,862.09	$2,818.38	$4,265.80
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $10,232.93 / $10,232.93	Facility		$3,235.94	$10,232.93	$10,232.93
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $6,025.60 / $11,748.98	Professional		$2,238.72	$6,025.60	$11,748.98
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,073.80 / $4,073.80 / $4,073.80	Professional		$4,073.80	$4,073.80	$4,073.80
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,548.13 / $6,918.31 / $7,943.28	Professional		$3,548.13	$6,918.31	$7,943.28
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 $1,258.93 / $1,862.09 / $5,128.61	Professional		$1,258.93	$1,862.09	$5,128.61