Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $2,570.40 / $14,454.40	Facility		$1,513.56	$2,570.40	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,445.44 / $3,162.28	Professional		$1,122.02	$1,445.44	$3,162.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $4,786.30 / $7,585.78	Facility		$3,311.31	$4,786.30	$7,585.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $2,454.71 / $6,165.95	Professional		$1,230.27	$2,454.71	$6,165.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $3,801.89 / $6,165.95	Facility		$3,311.31	$3,801.89	$6,165.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $3,890.45 / $4,466.84	Professional		$1,698.24	$3,890.45	$4,466.84
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $5,128.61 / $9,549.93	Facility		$1,380.38	$5,128.61	$9,549.93
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $3,090.30 / $3,890.45	Professional		$2,238.72	$3,090.30	$3,890.45
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $5,495.41 / $8,317.64	Facility		$1,380.38	$5,495.41	$8,317.64
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $2,137.96 / $9,332.54	Professional		$1,258.93	$2,137.96	$9,332.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,698.24	Professional		$32.36	$33.11	$1,698.24
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $2,818.38 / $4,897.79	Professional		$1,445.44	$2,818.38	$4,897.79
Quartz Facility/Professional Facility Modifier Low / Median / High Price $5,370.32 / $10,000.00 / $10,000.00	Facility		$5,370.32	$10,000.00	$10,000.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $6,025.60 / $9,120.11	Professional		$1,698.24	$6,025.60	$9,120.11
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,090.30 / $3,090.30 / $3,090.30	Professional		$3,090.30	$3,090.30	$3,090.30
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $6,918.31 / $7,585.78	Professional		$2,884.03	$6,918.31	$7,585.78
United Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $7,413.10 / $9,120.11	Facility		$4,897.79	$7,413.10	$9,120.11
United Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,949.84 / $5,370.32	Professional		$1,122.02	$1,949.84	$5,370.32