Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $4,265.80 / $4,265.80	Facility		$4,265.80	$4,265.80	$4,265.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,265.80 / $4,365.16 / $5,248.07	Professional		$4,265.80	$4,365.16	$5,248.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $3,715.35 / $3,890.45	Facility		$3,235.94	$3,715.35	$3,890.45
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,995.26 / $4,168.69	Professional		$1,023.29	$1,995.26	$4,168.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $5,128.61 / $8,511.38	Facility		$4,466.84	$5,128.61	$8,511.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,884.03 / $4,466.84	Professional		$1,905.46	$2,884.03	$4,466.84
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $4,265.80 / $5,248.07	Facility		$3,548.13	$4,265.80	$5,248.07
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $10,000.00 / $10,715.19	Professional		$1,778.28	$10,000.00	$10,715.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $4,265.80 / $5,248.07	Facility		$3,548.13	$4,265.80	$5,248.07
Medica Facility/Professional Professional Modifier Low / Median / High Price $5,248.07 / $5,248.07 / $10,232.93	Professional		$5,248.07	$5,248.07	$10,232.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $54.95 / $85.11	Professional		$32.36	$54.95	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $3,235.94 / $4,466.84	Professional		$1,513.56	$3,235.94	$4,466.84
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $4,466.84 / $7,413.10	Facility		$3,162.28	$4,466.84	$7,413.10
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $4,466.84 / $10,232.93	Professional		$2,041.74	$4,466.84	$10,232.93
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,041.74 / $2,041.74	Professional		$2,041.74	$2,041.74	$2,041.74
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $6,606.93 / $6,606.93	Professional		$2,454.71	$6,606.93	$6,606.93
United Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $1,737.80	Facility		$1,318.26	$1,318.26	$1,737.80
United Facility/Professional Professional Modifier Low / Median / High Price $5,248.07 / $5,248.07 / $7,244.36	Professional		$5,248.07	$5,248.07	$7,244.36