Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $2,089.30 / $14,454.40	Facility		$1,000.00	$2,089.30	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,023.29 / $2,691.53	Professional		$933.25	$1,023.29	$2,691.53
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 / $2,089.30 / $5,888.44	Professional		$1,122.02	$2,089.30	$5,888.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $3,090.30 / $5,128.61	Facility		$2,630.27	$3,090.30	$5,128.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $4,168.69 / $4,677.35	Professional		$1,412.54	$4,168.69	$4,677.35
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $2,041.74 / $6,918.31	Facility		$1,000.00	$2,041.74	$6,918.31
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,454.71 / $3,162.28	Professional		$1,819.70	$2,454.71	$3,162.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $2,137.96 / $8,317.64	Facility		$1,023.29	$2,137.96	$8,317.64
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $2,041.74 / $7,585.78	Professional		$1,148.15	$2,041.74	$7,585.78
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 $1,445.44 / $2,187.76 / $3,311.31	Professional		$1,445.44	$2,187.76	$3,311.31
Quartz Facility/Professional Facility Modifier Low / Median / High Price $6,025.60 / $11,220.18 / $16,595.87	Facility		$6,025.60	$11,220.18	$16,595.87
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $5,370.32 / $7,413.10	Professional		$1,819.70	$5,370.32	$7,413.10
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $6,025.60 / $6,606.93	Professional		$2,691.53	$6,025.60	$6,606.93
United Facility/Professional Facility Modifier Low / Median / High Price $5,128.61 / $7,413.10 / $9,120.11	Facility		$5,128.61	$7,413.10	$9,120.11
United Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,698.24 / $4,570.88	Professional		$1,122.02	$1,698.24	$4,570.88