Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $2,238.72 / $14,454.40	Facility		$1,071.52	$2,238.72	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,148.15 / $2,754.23	Professional		$1,000.00	$1,148.15	$2,754.23
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 $1,071.52 / $2,187.76 / $5,370.32	Professional		$1,071.52	$2,187.76	$5,370.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $3,311.31 / $5,248.07	Facility		$2,818.38	$3,311.31	$5,248.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $4,466.84 / $5,011.87	Professional		$1,380.38	$4,466.84	$5,011.87
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $2,137.96 / $10,000.00	Facility		$1,096.48	$2,137.96	$10,000.00
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,630.27 / $3,388.44	Professional		$1,949.84	$2,630.27	$3,388.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $2,238.72 / $11,481.54	Facility		$1,096.48	$2,238.72	$11,481.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,995.26 / $8,709.64	Professional		$1,148.15	$1,995.26	$8,709.64
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 $1,621.81 / $2,454.71 / $3,715.35	Professional		$1,621.81	$2,454.71	$3,715.35
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $8,912.51 / $8,912.51	Facility		$2,818.38	$8,912.51	$8,912.51
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $5,248.07 / $8,709.64	Professional		$1,949.84	$5,248.07	$8,709.64
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,548.13 / $3,548.13 / $3,548.13	Professional		$3,548.13	$3,548.13	$3,548.13
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,090.30 / $6,025.60 / $6,918.31	Professional		$3,090.30	$6,025.60	$6,918.31
United Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $10,232.93 / $12,589.25	Facility		$6,606.93	$10,232.93	$12,589.25
United Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,659.59 / $4,466.84	Professional		$1,096.48	$1,659.59	$4,466.84