Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $2,511.89 / $14,454.40	Facility		$1,202.26	$2,511.89	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,258.93 / $3,388.44	Professional		$1,122.02	$1,258.93	$3,388.44
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 / $6,025.60	Professional		$1,230.27	$2,511.89	$6,025.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $3,715.35 / $5,888.44	Facility		$3,162.28	$3,715.35	$5,888.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $5,011.87 / $5,623.41	Professional		$1,513.56	$5,011.87	$5,623.41
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $2,398.83 / $10,000.00	Facility		$1,202.26	$2,398.83	$10,000.00
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,951.21 / $3,801.89	Professional		$2,187.76	$2,951.21	$3,801.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $2,511.89 / $15,135.61	Facility		$1,230.27	$2,511.89	$15,135.61
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $2,238.72 / $9,120.11	Professional		$1,230.27	$2,238.72	$9,120.11
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 $2,041.74 / $3,090.30 / $4,677.35	Professional		$2,041.74	$3,090.30	$4,677.35
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $8,511.38 / $8,511.38	Facility		$3,162.28	$8,511.38	$8,511.38
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $5,888.44 / $8,912.51	Professional		$2,187.76	$5,888.44	$8,912.51
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,981.07 / $3,981.07 / $3,981.07	Professional		$3,981.07	$3,981.07	$3,981.07
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,548.13 / $6,760.83 / $7,762.47	Professional		$3,548.13	$6,760.83	$7,762.47
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 $1,202.26 / $1,819.70 / $5,011.87	Professional		$1,202.26	$1,819.70	$5,011.87