Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $3,090.30 / $14,454.40	Facility		$1,380.38	$3,090.30	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,659.59 / $4,168.69	Professional		$1,380.38	$1,659.59	$4,168.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,748.98 / $16,218.10 / $27,542.29	Facility		$11,748.98	$16,218.10	$27,542.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $2,818.38 / $7,079.46	Professional		$1,479.11	$2,818.38	$7,079.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $4,466.84 / $7,244.36	Facility		$3,801.89	$4,466.84	$7,244.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $5,888.44 / $6,606.93	Professional		$2,137.96	$5,888.44	$6,606.93
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $2,951.21 / $10,000.00	Facility		$1,445.44	$2,951.21	$10,000.00
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $3,548.13 / $4,570.88	Professional		$2,630.27	$3,548.13	$4,570.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $2,691.53 / $7,585.78	Facility		$1,445.44	$2,691.53	$7,585.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,691.53 / $11,220.18	Professional		$1,513.56	$2,691.53	$11,220.18
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 $2,511.89 / $3,715.35 / $5,754.40	Professional		$2,511.89	$3,715.35	$5,754.40
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $19,952.62 / $19,952.62	Facility		$3,801.89	$19,952.62	$19,952.62
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $7,079.46 / $11,220.18	Professional		$2,818.38	$7,079.46	$11,220.18
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,128.61 / $5,128.61 / $5,128.61	Professional		$5,128.61	$5,128.61	$5,128.61
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,897.79 / $8,511.38 / $9,549.93	Professional		$4,897.79	$8,511.38	$9,549.93
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 $1,513.56 / $2,290.87 / $6,165.95	Professional		$1,513.56	$2,290.87	$6,165.95