Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $2,290.87 / $14,454.40	Facility		$1,047.13	$2,290.87	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,174.90 / $3,090.30	Professional		$1,000.00	$1,174.90	$3,090.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $10,964.78 / $18,197.01	Facility		$6,606.93	$10,964.78	$18,197.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $2,137.96 / $5,754.40	Professional		$1,122.02	$2,137.96	$5,754.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $3,388.44 / $5,754.40	Facility		$2,884.03	$3,388.44	$5,754.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $4,466.84 / $5,011.87	Professional		$1,479.11	$4,466.84	$5,011.87
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,862.09 / $4,168.69	Facility		$1,047.13	$1,862.09	$4,168.69
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,691.53 / $3,467.37	Professional		$1,995.26	$2,691.53	$3,467.37
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $2,290.87 / $15,135.61	Facility		$1,096.48	$2,290.87	$15,135.61
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,995.26 / $8,511.38	Professional		$1,122.02	$1,995.26	$8,511.38
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 $1,659.59 / $2,511.89 / $3,801.89	Professional		$1,659.59	$2,511.89	$3,801.89
Quartz Facility/Professional Facility Modifier Low / Median / High Price $8,128.31 / $15,135.61 / $22,387.21	Facility		$8,128.31	$15,135.61	$22,387.21
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $5,495.41 / $8,317.64	Professional		$2,137.96	$5,495.41	$8,317.64
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 $3,467.37 / $6,456.54 / $7,244.36	Professional		$3,467.37	$6,456.54	$7,244.36
United Facility/Professional Facility Modifier Low / Median / High Price $7,585.78 / $12,302.69 / $16,595.87	Facility		$7,585.78	$12,302.69	$16,595.87
United Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,698.24 / $4,677.35	Professional		$1,122.02	$1,698.24	$4,677.35