Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $3,235.94 / $14,454.40	Facility		$1,548.82	$3,235.94	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,621.81 / $4,365.16	Professional		$1,445.44	$1,621.81	$4,365.16
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 $1,548.82 / $3,162.28 / $7,762.47	Professional		$1,548.82	$3,162.28	$7,762.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $4,677.35 / $7,585.78	Facility		$4,073.80	$4,677.35	$7,585.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $6,309.57 / $7,244.36	Professional		$1,995.26	$6,309.57	$7,244.36
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $3,090.30 / $10,000.00	Facility		$1,548.82	$3,090.30	$10,000.00
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $3,715.35 / $4,786.30	Professional		$2,818.38	$3,715.35	$4,786.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $3,235.94 / $19,498.45	Facility		$1,548.82	$3,235.94	$19,498.45
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,884.03 / $11,748.98	Professional		$1,621.81	$2,884.03	$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 $2,290.87 / $3,467.37 / $5,248.07	Professional		$2,290.87	$3,467.37	$5,248.07
Quartz Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $12,882.50 / $12,882.50	Facility		$4,073.80	$12,882.50	$12,882.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $7,585.78 / $11,748.98	Professional		$2,754.23	$7,585.78	$11,748.98
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,128.61 / $5,128.61 / $5,128.61	Professional		$5,128.61	$5,128.61	$5,128.61
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,365.16 / $8,709.64 / $10,000.00	Professional		$4,365.16	$8,709.64	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $8,709.64 / $16,982.44 / $22,387.21	Facility		$8,709.64	$16,982.44	$22,387.21
United Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $2,344.23 / $6,456.54	Professional		$1,584.89	$2,344.23	$6,456.54