Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $2,137.96 / $14,454.40	Facility		$1,174.90	$2,137.96	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,174.90 / $2,137.96	Professional		$1,000.00	$1,174.90	$2,137.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $8,128.31 / $13,803.84	Facility		$5,011.87	$8,128.31	$13,803.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,995.26 / $5,128.61	Professional		$1,023.29	$1,995.26	$5,128.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $3,162.28 / $5,011.87	Facility		$2,691.53	$3,162.28	$5,011.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $2,398.83 / $4,365.16	Professional		$1,122.02	$2,398.83	$4,365.16
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,412.54 / $8,128.31	Facility		$1,000.00	$1,412.54	$8,128.31
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,290.87 / $3,548.13	Professional		$1,819.70	$2,290.87	$3,548.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,479.11 / $5,754.40	Facility		$1,047.13	$1,479.11	$5,754.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,819.70 / $7,943.28	Professional		$1,047.13	$1,819.70	$7,943.28
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 $1,348.96 / $2,454.71 / $3,801.89	Professional		$1,348.96	$2,454.71	$3,801.89
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $10,000.00 / $10,000.00	Facility		$2,691.53	$10,000.00	$10,000.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $5,128.61 / $7,762.47	Professional		$1,071.52	$5,128.61	$7,762.47
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,890.45 / $3,890.45 / $3,890.45	Professional		$3,890.45	$3,890.45	$3,890.45
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,388.44 / $4,073.80 / $5,248.07	Professional		$3,388.44	$4,073.80	$5,248.07
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 $1,023.29 / $1,479.11 / $3,981.07	Professional		$1,023.29	$1,479.11	$3,981.07