Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $3,548.13 / $14,454.40	Facility		$1,698.24	$3,548.13	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,819.70 / $4,365.16	Professional		$1,584.89	$1,819.70	$4,365.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $8,128.31 / $13,182.57	Facility		$5,011.87	$8,128.31	$13,182.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $3,467.37 / $8,511.38	Professional		$1,737.80	$3,467.37	$8,511.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $5,248.07 / $8,317.64	Facility		$4,466.84	$5,248.07	$8,317.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $7,079.46 / $7,943.28	Professional		$2,137.96	$7,079.46	$7,943.28
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $3,467.37 / $10,000.00	Facility		$1,621.81	$3,467.37	$10,000.00
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $4,168.69 / $5,370.32	Professional		$3,019.95	$4,168.69	$5,370.32
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $3,548.13 / $14,125.38	Facility		$1,621.81	$3,548.13	$14,125.38
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $3,019.95 / $12,882.50	Professional		$1,318.26	$3,019.95	$12,882.50
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 $2,511.89 / $3,801.89 / $5,754.40	Professional		$2,511.89	$3,801.89	$5,754.40
Quartz Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $10,964.78 / $10,964.78	Facility		$4,466.84	$10,964.78	$10,964.78
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,090.30 / $8,511.38 / $12,589.25	Professional		$3,090.30	$8,511.38	$12,589.25
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,623.41 / $5,623.41 / $5,623.41	Professional		$5,623.41	$5,623.41	$5,623.41
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,897.79 / $9,549.93 / $10,964.78	Professional		$4,897.79	$9,549.93	$10,964.78
United Facility/Professional Facility Modifier Low / Median / High Price $8,709.64 / $13,489.63 / $17,378.01	Facility		$8,709.64	$13,489.63	$17,378.01
United Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $2,511.89 / $7,079.46	Professional		$1,348.96	$2,511.89	$7,079.46