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 $912.01 / $1,023.29 / $2,754.23	Professional		$912.01	$1,023.29	$2,754.23
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 / $2,089.30 / $5,370.32	Professional		$1,023.29	$2,089.30	$5,370.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $3,090.30 / $5,011.87	Facility		$2,691.53	$3,090.30	$5,011.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $4,168.69 / $4,677.35	Professional		$1,288.25	$4,168.69	$4,677.35
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $2,089.30 / $6,918.31	Facility		$1,000.00	$2,089.30	$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 / $2,238.72 / $15,135.61	Facility		$1,023.29	$2,238.72	$15,135.61
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,819.70 / $11,220.18	Professional		$1,023.29	$1,819.70	$11,220.18
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 / $3,388.44	Professional		$1,445.44	$2,187.76	$3,388.44
Quartz Facility/Professional Facility Modifier Low / Median / High Price $11,220.18 / $16,595.87 / $16,595.87	Facility		$11,220.18	$16,595.87	$16,595.87
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $5,011.87 / $11,220.18	Professional		$1,819.70	$5,011.87	$11,220.18
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,311.31 / $3,311.31 / $3,311.31	Professional		$3,311.31	$3,311.31	$3,311.31
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,388.44 / $5,754.40 / $6,456.54	Professional		$3,388.44	$5,754.40	$6,456.54
United Facility/Professional Facility Modifier Low / Median / High Price $7,585.78 / $12,302.69 / $16,218.10	Facility		$7,585.78	$12,302.69	$16,218.10
United Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,548.82 / $4,265.80	Professional		$1,023.29	$1,548.82	$4,265.80