Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $3,090.30 / $14,454.40	Facility		$1,479.11	$3,090.30	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,584.89 / $3,801.89	Professional		$1,380.38	$1,584.89	$3,801.89
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 $1,513.56 / $3,090.30 / $7,413.10	Professional		$1,513.56	$3,090.30	$7,413.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $4,570.88 / $7,244.36	Facility		$3,890.45	$4,570.88	$7,244.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $6,165.95 / $6,918.31	Professional		$1,949.84	$6,165.95	$6,918.31
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $2,951.21 / $10,000.00	Facility		$1,513.56	$2,951.21	$10,000.00
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $3,630.78 / $4,677.35	Professional		$2,691.53	$3,630.78	$4,677.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $3,090.30 / $11,481.54	Facility		$1,513.56	$3,090.30	$11,481.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,754.23 / $11,220.18	Professional		$1,621.81	$2,754.23	$11,220.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $85.11	Professional		$32.36	$33.11	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $3,388.44 / $5,128.61	Professional		$2,187.76	$3,388.44	$5,128.61
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $12,302.69 / $12,302.69	Facility		$3,890.45	$12,302.69	$12,302.69
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $7,413.10 / $11,220.18	Professional		$2,691.53	$7,413.10	$11,220.18
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,897.79 / $4,897.79 / $4,897.79	Professional		$4,897.79	$4,897.79	$4,897.79
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,265.80 / $8,317.64 / $9,549.93	Professional		$4,265.80	$8,317.64	$9,549.93
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 $1,548.82 / $2,290.87 / $6,165.95	Professional		$1,548.82	$2,290.87	$6,165.95