Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $2,137.96 / $14,454.40	Facility		$1,023.29	$2,137.96	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,047.13 / $2,884.03	Professional		$954.99	$1,047.13	$2,884.03
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 $1,000.00 / $2,137.96 / $5,128.61	Professional		$1,000.00	$2,137.96	$5,128.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $3,162.28 / $5,128.61	Facility		$2,691.53	$3,162.28	$5,128.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $4,265.80 / $4,786.30	Professional		$1,445.44	$4,265.80	$4,786.30
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $2,137.96 / $10,232.93	Facility		$1,023.29	$2,137.96	$10,232.93
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,511.89 / $3,235.94	Professional		$1,862.09	$2,511.89	$3,235.94
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $2,238.72 / $15,135.61	Facility		$1,047.13	$2,238.72	$15,135.61
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,949.84 / $10,232.93	Professional		$1,096.48	$1,949.84	$10,232.93
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 $1,479.11 / $2,238.72 / $3,388.44	Professional		$1,479.11	$2,238.72	$3,388.44
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $9,549.93 / $9,549.93	Facility		$2,691.53	$9,549.93	$9,549.93
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $4,897.79 / $10,232.93	Professional		$1,862.09	$4,897.79	$10,232.93
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,388.44 / $3,388.44 / $3,388.44	Professional		$3,388.44	$3,388.44	$3,388.44
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $5,754.40 / $6,606.93	Professional		$2,454.71	$5,754.40	$6,606.93
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 $1,071.52 / $1,621.81 / $4,168.69	Professional		$1,071.52	$1,621.81	$4,168.69