Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $2,398.83 / $14,454.40	Facility		$1,148.15	$2,398.83	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,202.26 / $3,019.95	Professional		$1,071.52	$1,202.26	$3,019.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $8,317.64 / $13,182.57	Facility		$5,011.87	$8,317.64	$13,182.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $2,344.23 / $5,754.40	Professional		$1,148.15	$2,344.23	$5,754.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $3,548.13 / $5,623.41	Facility		$3,019.95	$3,548.13	$5,623.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $4,677.35 / $5,370.32	Professional		$1,548.82	$4,677.35	$5,370.32
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $2,398.83 / $10,000.00	Facility		$1,174.90	$2,398.83	$10,000.00
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,754.23 / $3,548.13	Professional		$2,089.30	$2,754.23	$3,548.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $2,398.83 / $13,182.57	Facility		$1,174.90	$2,398.83	$13,182.57
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $2,187.76 / $9,549.93	Professional		$1,258.93	$2,187.76	$9,549.93
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 $3,019.95 / $7,413.10 / $7,413.10	Facility		$3,019.95	$7,413.10	$7,413.10
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $5,623.41 / $9,549.93	Professional		$2,041.74	$5,623.41	$9,549.93
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,801.89 / $3,801.89 / $3,801.89	Professional		$3,801.89	$3,801.89	$3,801.89
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,235.94 / $6,456.54 / $7,413.10	Professional		$3,235.94	$6,456.54	$7,413.10
United Facility/Professional Facility Modifier Low / Median / High Price $7,585.78 / $12,302.69 / $16,595.87	Facility		$7,585.78	$12,302.69	$16,595.87
United Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,819.70 / $4,786.30	Professional		$1,230.27	$1,819.70	$4,786.30