Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $2,754.23 / $14,454.40	Facility		$1,513.56	$2,754.23	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,548.82 / $2,884.03	Professional		$1,318.26	$1,548.82	$2,884.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,120.11 / $12,882.50 / $20,892.96	Facility		$9,120.11	$12,882.50	$20,892.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $2,570.40 / $6,760.83	Professional		$1,412.54	$2,570.40	$6,760.83
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 $1,479.11 / $3,090.30 / $5,754.40	Professional		$1,479.11	$3,090.30	$5,754.40
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,905.46 / $8,912.51	Facility		$1,412.54	$1,905.46	$8,912.51
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $2,951.21 / $4,897.79	Professional		$2,344.23	$2,951.21	$4,897.79
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,905.46 / $6,165.95	Facility		$1,412.54	$1,905.46	$6,165.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $2,511.89 / $10,232.93	Professional		$1,479.11	$2,511.89	$10,232.93
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 $1,778.28 / $3,235.94 / $5,011.87	Professional		$1,778.28	$3,235.94	$5,011.87
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $3,467.37 / $20,892.96	Facility		$3,467.37	$3,467.37	$20,892.96
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $4,786.30 / $10,000.00	Professional		$1,412.54	$4,786.30	$10,000.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,011.87 / $5,011.87 / $5,011.87	Professional		$5,011.87	$5,011.87	$5,011.87
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,466.84 / $5,623.41 / $6,760.83	Professional		$4,466.84	$5,623.41	$6,760.83
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 $1,380.38 / $2,089.30 / $5,370.32	Professional		$1,380.38	$2,089.30	$5,370.32