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 $1,202.26 / $1,698.24 / $3,467.37	Professional		$1,202.26	$1,698.24	$3,467.37
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $7,762.47 / $12,589.25	Facility		$5,011.87	$7,762.47	$12,589.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $2,570.40 / $7,244.36	Professional		$1,318.26	$2,570.40	$7,244.36
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 / $4,786.30	Professional		$2,187.76	$4,265.80	$4,786.30
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $7,244.36 / $13,489.63	Facility		$1,479.11	$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 $1,445.44 / $5,495.41 / $8,317.64	Facility		$1,445.44	$5,495.41	$8,317.64
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $2,691.53 / $10,232.93	Professional		$1,584.89	$2,691.53	$10,232.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,737.80	Professional		$32.36	$33.11	$1,737.80
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $3,388.44 / $5,754.40	Professional		$2,344.23	$3,388.44	$5,754.40
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $10,964.78 / $10,964.78	Facility		$3,467.37	$10,964.78	$10,964.78
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $6,606.93 / $10,000.00	Professional		$2,511.89	$6,606.93	$10,000.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,918.31 / $6,918.31 / $6,918.31	Professional		$6,918.31	$6,918.31	$6,918.31
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,888.44 / $9,332.54 / $9,332.54	Professional		$5,888.44	$9,332.54	$9,332.54
United Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $7,413.10 / $9,120.11	Facility		$4,073.80	$7,413.10	$9,120.11
United Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $2,630.27 / $6,025.60	Professional		$1,479.11	$2,630.27	$6,025.60