Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $2,511.89 / $14,454.40	Facility		$1,348.96	$2,511.89	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,380.38 / $2,511.89	Professional		$1,148.15	$1,380.38	$2,511.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $8,128.31 / $14,125.38	Facility		$5,011.87	$8,128.31	$14,125.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $2,290.87 / $6,025.60	Professional		$1,174.90	$2,290.87	$6,025.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $3,630.78 / $5,888.44	Facility		$3,162.28	$3,630.78	$5,888.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $2,754.23 / $5,128.61	Professional		$1,288.25	$2,754.23	$5,128.61
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,584.89 / $8,128.31	Facility		$1,174.90	$1,584.89	$8,128.31
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,630.27 / $3,890.45	Professional		$2,137.96	$2,630.27	$3,890.45
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,659.59 / $5,754.40	Facility		$1,230.27	$1,659.59	$5,754.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $2,089.30 / $9,120.11	Professional		$1,202.26	$2,089.30	$9,120.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $70.79	Professional		$32.36	$33.11	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $2,818.38 / $4,365.16	Professional		$1,584.89	$2,818.38	$4,365.16
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $10,000.00 / $10,000.00	Facility		$3,162.28	$10,000.00	$10,000.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $6,025.60 / $8,912.51	Professional		$1,258.93	$6,025.60	$8,912.51
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,466.84 / $4,466.84 / $4,466.84	Professional		$4,466.84	$4,466.84	$4,466.84
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,801.89 / $4,570.88 / $6,165.95	Professional		$3,801.89	$4,570.88	$6,165.95
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 $1,174.90 / $1,698.24 / $4,677.35	Professional		$1,174.90	$1,698.24	$4,677.35