Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $2,691.53 / $14,454.40	Facility		$1,202.26	$2,691.53	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,479.11 / $3,467.37	Professional		$1,202.26	$1,479.11	$3,467.37
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 $1,288.25 / $2,511.89 / $6,309.57	Professional		$1,288.25	$2,511.89	$6,309.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $3,981.07 / $6,309.57	Facility		$3,388.44	$3,981.07	$6,309.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $5,248.07 / $5,888.44	Professional		$1,905.46	$5,248.07	$5,888.44
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $2,630.27 / $10,000.00	Facility		$1,288.25	$2,630.27	$10,000.00
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $3,162.28 / $4,073.80	Professional		$2,344.23	$3,162.28	$4,073.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $2,570.40 / $7,585.78	Facility		$1,288.25	$2,570.40	$7,585.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $2,344.23 / $10,232.93	Professional		$1,380.38	$2,344.23	$10,232.93
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 $2,187.76 / $3,311.31 / $5,128.61	Professional		$2,187.76	$3,311.31	$5,128.61
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $17,782.79 / $17,782.79	Facility		$3,388.44	$17,782.79	$17,782.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $6,309.57 / $10,232.93	Professional		$2,511.89	$6,309.57	$10,232.93
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,570.88 / $4,570.88 / $4,570.88	Professional		$4,570.88	$4,570.88	$4,570.88
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,365.16 / $7,585.78 / $8,511.38	Professional		$4,365.16	$7,585.78	$8,511.38
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 $1,348.96 / $1,995.26 / $5,370.32	Professional		$1,348.96	$1,995.26	$5,370.32