Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $2,344.23 / $14,454.40	Facility		$1,122.02	$2,344.23	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,202.26 / $2,951.21	Professional		$1,071.52	$1,202.26	$2,951.21
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 $1,148.15 / $2,290.87 / $5,623.41	Professional		$1,148.15	$2,290.87	$5,623.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $3,467.37 / $5,495.41	Facility		$2,951.21	$3,467.37	$5,495.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $4,677.35 / $5,248.07	Professional		$1,479.11	$4,677.35	$5,248.07
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $2,344.23 / $10,000.00	Facility		$1,148.15	$2,344.23	$10,000.00
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,754.23 / $3,548.13	Professional		$2,041.74	$2,754.23	$3,548.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $2,511.89 / $15,135.61	Facility		$1,148.15	$2,511.89	$15,135.61
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $2,089.30 / $8,511.38	Professional		$1,230.27	$2,089.30	$8,511.38
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 $1,698.24 / $2,570.40 / $3,890.45	Professional		$1,698.24	$2,570.40	$3,890.45
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $9,332.54 / $9,332.54	Facility		$2,951.21	$9,332.54	$9,332.54
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $5,623.41 / $8,511.38	Professional		$2,041.74	$5,623.41	$8,511.38
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,715.35 / $3,715.35 / $3,715.35	Professional		$3,715.35	$3,715.35	$3,715.35
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,235.94 / $6,456.54 / $7,244.36	Professional		$3,235.94	$6,456.54	$7,244.36
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 $1,174.90 / $1,737.80 / $4,786.30	Professional		$1,174.90	$1,737.80	$4,786.30