Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $2,630.27 / $14,454.40	Facility		$1,621.81	$2,630.27	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,621.81 / $3,235.94	Professional		$1,174.90	$1,621.81	$3,235.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,000.00 / $13,803.84 / $21,877.62	Facility		$10,000.00	$13,803.84	$21,877.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $2,454.71 / $7,079.46	Professional		$1,258.93	$2,454.71	$7,079.46
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 $2,041.74 / $4,073.80 / $4,570.88	Professional		$2,041.74	$4,073.80	$4,570.88
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $7,244.36 / $14,454.40	Facility		$1,479.11	$7,244.36	$14,454.40
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $3,388.44 / $3,890.45	Professional		$2,754.23	$3,388.44	$3,890.45
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $3,388.44 / $9,549.93	Facility		$1,479.11	$3,388.44	$9,549.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,570.40 / $7,079.46	Professional		$1,548.82	$2,570.40	$7,079.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $85.11	Professional		$32.36	$33.11	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $3,311.31 / $5,495.41	Professional		$2,344.23	$3,311.31	$5,495.41
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $3,311.31 / $23,988.33	Facility		$3,311.31	$3,311.31	$23,988.33
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $6,309.57 / $12,022.64	Professional		$2,238.72	$6,309.57	$12,022.64
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,606.93 / $6,606.93 / $6,606.93	Professional		$6,606.93	$6,606.93	$6,606.93
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,025.60 / $8,912.51 / $8,912.51	Professional		$6,025.60	$8,912.51	$8,912.51
United Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $6,165.95 / $19,498.45	Facility		$2,290.87	$6,165.95	$19,498.45
United Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,570.40 / $5,754.40	Professional		$1,513.56	$2,570.40	$5,754.40