Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $2,754.23 / $14,454.40	Facility		$1,698.24	$2,754.23	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,698.24 / $3,467.37	Professional		$1,258.93	$1,698.24	$3,467.37
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $10,964.78 / $17,378.01	Facility		$6,606.93	$10,964.78	$17,378.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $2,630.27 / $7,585.78	Professional		$1,348.96	$2,630.27	$7,585.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $4,073.80 / $6,456.54	Facility		$3,467.37	$4,073.80	$6,456.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $4,265.80 / $5,128.61	Professional		$2,187.76	$4,265.80	$5,128.61
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $7,244.36 / $13,489.63	Facility		$1,584.89	$7,244.36	$13,489.63
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $3,548.13 / $4,168.69	Professional		$2,884.03	$3,548.13	$4,168.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $2,884.03 / $9,549.93	Facility		$1,548.82	$2,884.03	$9,549.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,818.38 / $10,232.93	Professional		$1,621.81	$2,818.38	$10,232.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,905.46	Professional		$32.36	$33.11	$1,905.46
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $3,467.37 / $5,754.40	Professional		$2,454.71	$3,467.37	$5,754.40
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $25,703.96 / $25,703.96	Facility		$3,467.37	$25,703.96	$25,703.96
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $6,760.83 / $10,000.00	Professional		$2,344.23	$6,760.83	$10,000.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7,079.46 / $7,079.46 / $7,079.46	Professional		$7,079.46	$7,079.46	$7,079.46
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,309.57 / $9,332.54 / $9,549.93	Professional		$6,309.57	$9,332.54	$9,549.93
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 $1,621.81 / $2,754.23 / $6,165.95	Professional		$1,621.81	$2,754.23	$6,165.95