Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $2,570.40 / $14,454.40	Facility		$1,258.93	$2,570.40	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,288.25 / $3,162.28	Professional		$1,174.90	$1,288.25	$3,162.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $8,317.64 / $13,489.63	Facility		$5,011.87	$8,317.64	$13,489.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $2,398.83 / $6,025.60	Professional		$1,230.27	$2,398.83	$6,025.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $3,801.89 / $6,025.60	Facility		$3,235.94	$3,801.89	$6,025.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $3,981.07 / $4,466.84	Professional		$1,778.28	$3,981.07	$4,466.84
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $6,918.31 / $13,489.63	Facility		$1,380.38	$6,918.31	$13,489.63
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $3,090.30 / $3,890.45	Professional		$2,238.72	$3,090.30	$3,890.45
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $2,818.38 / $7,943.28	Facility		$1,380.38	$2,818.38	$7,943.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $2,238.72 / $21,877.62	Professional		$1,258.93	$2,238.72	$21,877.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,659.59	Professional		$32.36	$33.11	$1,659.59
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $2,884.03 / $4,897.79	Professional		$1,479.11	$2,884.03	$4,897.79
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $10,000.00 / $10,000.00	Facility		$3,235.94	$10,000.00	$10,000.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $6,165.95 / $21,877.62	Professional		$1,698.24	$6,165.95	$21,877.62
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,456.54 / $6,456.54 / $6,456.54	Professional		$6,456.54	$6,456.54	$6,456.54
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,168.69 / $7,413.10 / $9,120.11	Professional		$4,168.69	$7,413.10	$9,120.11
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 $1,202.26 / $2,041.74 / $5,370.32	Professional		$1,202.26	$2,041.74	$5,370.32