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 $1,174.90 / $1,412.54 / $3,311.31	Professional		$1,174.90	$1,412.54	$3,311.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,748.98 / $16,218.10 / $26,302.68	Facility		$11,748.98	$16,218.10	$26,302.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $2,454.71 / $6,025.60	Professional		$1,288.25	$2,454.71	$6,025.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $3,890.45 / $6,309.57	Facility		$3,311.31	$3,890.45	$6,309.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $5,128.61 / $5,754.40	Professional		$1,949.84	$5,128.61	$5,754.40
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $2,570.40 / $10,000.00	Facility		$1,258.93	$2,570.40	$10,000.00
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $3,090.30 / $3,981.07	Professional		$2,290.87	$3,090.30	$3,981.07
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $2,691.53 / $17,782.79	Facility		$1,288.25	$2,691.53	$17,782.79
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $2,290.87 / $9,772.37	Professional		$1,318.26	$2,290.87	$9,772.37
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 / $3,235.94 / $5,011.87	Professional		$2,187.76	$3,235.94	$5,011.87
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $17,378.01 / $17,378.01	Facility		$3,311.31	$17,378.01	$17,378.01
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $6,165.95 / $9,549.93	Professional		$2,454.71	$6,165.95	$9,549.93
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,466.84 / $4,466.84 / $4,466.84	Professional		$4,466.84	$4,466.84	$4,466.84
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,981.07 / $7,413.10 / $8,317.64	Professional		$3,981.07	$7,413.10	$8,317.64
United Facility/Professional Facility Modifier Low / Median / High Price $8,128.31 / $16,218.10 / $21,379.62	Facility		$8,128.31	$16,218.10	$21,379.62
United Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,949.84 / $5,370.32	Professional		$1,318.26	$1,949.84	$5,370.32