Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $2,290.87 / $14,454.40	Facility		$1,023.29	$2,290.87	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,230.27 / $2,754.23	Professional		$1,023.29	$1,230.27	$2,754.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $4,897.79 / $7,585.78	Facility		$3,311.31	$4,897.79	$7,585.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $2,137.96 / $5,248.07	Professional		$1,096.48	$2,137.96	$5,248.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $3,388.44 / $5,370.32	Facility		$2,884.03	$3,388.44	$5,370.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $4,466.84 / $5,011.87	Professional		$1,445.44	$4,466.84	$5,011.87
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $2,041.74 / $10,000.00	Facility		$1,023.29	$2,041.74	$10,000.00
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,570.40 / $3,311.31	Professional		$1,995.26	$2,570.40	$3,311.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $2,187.76 / $5,248.07	Facility		$1,096.48	$2,187.76	$5,248.07
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,698.24 / $9,549.93	Professional		$1,023.29	$1,698.24	$9,549.93
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 $1,905.46 / $2,818.38 / $4,365.16	Professional		$1,905.46	$2,818.38	$4,365.16
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $14,791.08 / $14,791.08	Facility		$3,090.30	$14,791.08	$14,791.08
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $5,370.32 / $9,549.93	Professional		$2,137.96	$5,370.32	$9,549.93
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,890.45 / $3,890.45 / $3,890.45	Professional		$3,890.45	$3,890.45	$3,890.45
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $6,456.54 / $7,079.46	Professional		$2,818.38	$6,456.54	$7,079.46
United Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $3,801.89 / $6,606.93	Facility		$2,884.03	$3,801.89	$6,606.93
United Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,584.89 / $4,570.88	Professional		$1,000.00	$1,584.89	$4,570.88