Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $2,344.23 / $14,454.40	Facility		$1,445.44	$2,344.23	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,445.44 / $3,981.07	Professional		$1,047.13	$1,445.44	$3,981.07
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 $1,122.02 / $2,187.76 / $6,309.57	Professional		$1,122.02	$2,187.76	$6,309.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $3,388.44 / $5,495.41	Facility		$2,951.21	$3,388.44	$5,495.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $3,548.13 / $4,466.84	Professional		$1,819.70	$3,548.13	$4,466.84
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $7,244.36 / $13,489.63	Facility		$1,318.26	$7,244.36	$13,489.63
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $3,019.95 / $3,467.37	Professional		$2,398.83	$3,019.95	$3,467.37
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $2,818.38 / $9,549.93	Facility		$1,318.26	$2,818.38	$9,549.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $2,454.71 / $10,232.93	Professional		$1,348.96	$2,454.71	$10,232.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,584.89	Professional		$32.36	$33.11	$1,584.89
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,951.21 / $4,897.79	Professional		$2,089.30	$2,951.21	$4,897.79
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $21,379.62 / $21,379.62	Facility		$2,951.21	$21,379.62	$21,379.62
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $5,623.41 / $10,232.93	Professional		$1,949.84	$5,623.41	$10,232.93
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,888.44 / $5,888.44 / $5,888.44	Professional		$5,888.44	$5,888.44	$5,888.44
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,248.07 / $7,943.28 / $7,943.28	Professional		$5,248.07	$7,943.28	$7,943.28
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 $1,318.26 / $2,290.87 / $5,128.61	Professional		$1,318.26	$2,290.87	$5,128.61