Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $2,511.89 / $14,454.40	Facility		$1,148.15	$2,511.89	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,258.93 / $3,388.44	Professional		$1,071.52	$1,258.93	$3,388.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $10,964.78 / $19,952.62	Facility		$6,606.93	$10,964.78	$19,952.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $2,398.83 / $6,025.60	Professional		$1,258.93	$2,398.83	$6,025.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $3,715.35 / $6,025.60	Facility		$3,235.94	$3,715.35	$6,025.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $4,786.30 / $5,495.41	Professional		$1,778.28	$4,786.30	$5,495.41
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $2,398.83 / $10,000.00	Facility		$1,148.15	$2,398.83	$10,000.00
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,951.21 / $3,715.35	Professional		$2,187.76	$2,951.21	$3,715.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $2,398.83 / $7,585.78	Facility		$1,202.26	$2,398.83	$7,585.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $2,137.96 / $10,715.19	Professional		$1,230.27	$2,137.96	$10,715.19
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 $1,778.28 / $2,691.53 / $4,073.80	Professional		$1,778.28	$2,691.53	$4,073.80
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $8,511.38 / $8,511.38	Facility		$3,162.28	$8,511.38	$8,511.38
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $6,165.95 / $10,715.19	Professional		$2,344.23	$6,165.95	$10,715.19
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,265.80 / $4,265.80 / $4,265.80	Professional		$4,265.80	$4,265.80	$4,265.80
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,715.35 / $7,079.46 / $8,128.31	Professional		$3,715.35	$7,079.46	$8,128.31
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 $1,202.26 / $1,862.09 / $5,248.07	Professional		$1,202.26	$1,862.09	$5,248.07