Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $2,454.71 / $14,454.40	Facility		$1,174.90	$2,454.71	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,230.27 / $3,019.95	Professional		$1,096.48	$1,230.27	$3,019.95
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 $1,174.90 / $2,344.23 / $5,888.44	Professional		$1,174.90	$2,344.23	$5,888.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $3,630.78 / $5,754.40	Facility		$3,090.30	$3,630.78	$5,754.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $4,897.79 / $5,495.41	Professional		$1,548.82	$4,897.79	$5,495.41
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $2,454.71 / $10,000.00	Facility		$1,174.90	$2,454.71	$10,000.00
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,884.03 / $3,715.35	Professional		$2,137.96	$2,884.03	$3,715.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $2,570.40 / $15,135.61	Facility		$1,202.26	$2,570.40	$15,135.61
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $2,137.96 / $10,715.19	Professional		$1,258.93	$2,137.96	$10,715.19
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 $1,778.28 / $2,691.53 / $4,073.80	Professional		$1,778.28	$2,691.53	$4,073.80
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $7,585.78 / $7,585.78	Facility		$3,090.30	$7,585.78	$7,585.78
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $5,754.40 / $10,715.19	Professional		$2,137.96	$5,754.40	$10,715.19
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,890.45 / $3,890.45 / $3,890.45	Professional		$3,890.45	$3,890.45	$3,890.45
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,715.35 / $6,606.93 / $7,585.78	Professional		$3,715.35	$6,606.93	$7,585.78
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 / $1,778.28 / $4,897.79	Professional		$1,202.26	$1,778.28	$4,897.79