Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $13,489.63 / $15,135.61	Facility		$1,548.82	$13,489.63	$15,135.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,318.26 / $2,570.40	Professional		$1,000.00	$1,318.26	$2,570.40
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 $1,023.29 / $1,995.26 / $5,370.32	Professional		$1,023.29	$1,995.26	$5,370.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $3,162.28 / $5,128.61	Facility		$2,754.23	$3,162.28	$5,128.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $2,754.23 / $5,128.61	Professional		$1,380.38	$2,754.23	$5,128.61
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $4,677.35 / $10,232.93	Facility		$1,122.02	$4,677.35	$10,232.93
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,570.40 / $3,019.95	Professional		$1,905.46	$2,570.40	$3,019.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $5,248.07 / $15,135.61	Facility		$1,122.02	$5,248.07	$15,135.61
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $2,238.72 / $8,912.51	Professional		$1,148.15	$2,238.72	$8,912.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $85.11	Professional		$32.36	$33.11	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $2,041.74 / $3,162.28	Professional		$954.99	$2,041.74	$3,162.28
Quartz Facility/Professional Facility Modifier Low / Median / High Price $8,128.31 / $11,748.98 / $11,748.98	Facility		$8,128.31	$11,748.98	$11,748.98
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $812.83 / $1,174.90 / $1,174.90	Facility	AS	$812.83	$1,174.90	$1,174.90
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $5,623.41 / $8,912.51	Professional		$1,380.38	$5,623.41	$8,912.51
Security Health Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $6,606.93 / $6,606.93	Facility		$6,606.93	$6,606.93	$6,606.93
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,677.35 / $10,000.00 / $10,000.00	Professional		$4,677.35	$10,000.00	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $7,585.78 / $12,022.64 / $16,218.10	Facility		$7,585.78	$12,022.64	$16,218.10
United Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,905.46 / $4,466.84	Professional		$1,071.52	$1,905.46	$4,466.84