Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $2,238.72 / $14,454.40	Facility		$1,096.48	$2,238.72	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,148.15 / $2,754.23	Professional		$1,023.29	$1,148.15	$2,754.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $8,317.64 / $14,125.38	Facility		$5,011.87	$8,317.64	$14,125.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $2,089.30 / $5,248.07	Professional		$1,071.52	$2,089.30	$5,248.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $3,311.31 / $5,248.07	Facility		$2,818.38	$3,311.31	$5,248.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $3,467.37 / $3,981.07	Professional		$1,548.82	$3,467.37	$3,981.07
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $6,918.31 / $13,489.63	Facility		$1,202.26	$6,918.31	$13,489.63
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,691.53 / $3,388.44	Professional		$1,949.84	$2,691.53	$3,388.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $2,691.53 / $7,943.28	Facility		$1,202.26	$2,691.53	$7,943.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,995.26 / $8,511.38	Professional		$1,096.48	$1,995.26	$8,511.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,479.11	Professional		$32.36	$33.11	$1,479.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $2,511.89 / $4,265.80	Professional		$1,288.25	$2,511.89	$4,265.80
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $10,000.00 / $10,000.00	Facility		$2,818.38	$10,000.00	$10,000.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $5,370.32 / $8,511.38	Professional		$1,479.11	$5,370.32	$8,511.38
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,623.41 / $5,623.41 / $5,623.41	Professional		$5,623.41	$5,623.41	$5,623.41
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,128.61 / $6,456.54 / $8,128.31	Professional		$5,128.61	$6,456.54	$8,128.31
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 $1,047.13 / $1,819.70 / $4,677.35	Professional		$1,047.13	$1,819.70	$4,677.35