Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $2,398.83 / $14,454.40	Facility		$1,258.93	$2,398.83	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,230.27 / $2,398.83	Professional		$1,023.29	$1,230.27	$2,398.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $4,897.79 / $8,709.64	Facility		$3,311.31	$4,897.79	$8,709.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $2,238.72 / $5,248.07	Professional		$1,122.02	$2,238.72	$5,248.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $3,548.13 / $5,623.41	Facility		$3,019.95	$3,548.13	$5,623.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $3,548.13 / $3,981.07	Professional		$1,737.80	$3,548.13	$3,981.07
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $6,918.31 / $13,489.63	Facility		$1,258.93	$6,918.31	$13,489.63
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,884.03 / $3,548.13	Professional		$2,041.74	$2,884.03	$3,548.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $5,495.41 / $8,709.64	Facility		$1,258.93	$5,495.41	$8,709.64
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $2,041.74 / $10,000.00	Professional		$1,148.15	$2,041.74	$10,000.00
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 $1,348.96 / $2,630.27 / $3,630.78	Professional		$1,348.96	$2,630.27	$3,630.78
Quartz Facility/Professional Facility Modifier Low / Median / High Price $7,244.36 / $10,964.78 / $10,964.78	Facility		$7,244.36	$10,964.78	$10,964.78
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $5,623.41 / $10,232.93	Professional		$1,737.80	$5,623.41	$10,232.93
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $2,884.03 / $2,884.03	Professional		$2,884.03	$2,884.03	$2,884.03
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $6,309.57 / $6,309.57	Professional		$2,951.21	$6,309.57	$6,309.57
United Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $7,413.10 / $9,120.11	Facility		$4,897.79	$7,413.10	$9,120.11
United Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,862.09 / $4,897.79	Professional		$1,047.13	$1,862.09	$4,897.79