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 $954.99 / $1,023.29 / $3,019.95	Professional		$954.99	$1,023.29	$3,019.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $7,762.47 / $12,589.25	Facility		$3,981.07	$7,762.47	$12,589.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,949.84 / $5,888.44	Professional		$1,000.00	$1,949.84	$5,888.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $3,090.30 / $4,897.79	Facility		$2,630.27	$3,090.30	$4,897.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $4,265.80 / $4,897.79	Professional		$1,659.59	$4,265.80	$4,897.79
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $5,011.87 / $9,332.54	Facility		$1,023.29	$5,011.87	$9,332.54
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,511.89 / $3,162.28	Professional		$1,819.70	$2,511.89	$3,162.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $3,548.13 / $6,309.57	Facility		$1,023.29	$3,548.13	$6,309.57
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,862.09 / $5,623.41	Professional		$1,071.52	$1,862.09	$5,623.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,380.38	Professional		$32.36	$33.11	$1,380.38
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $2,511.89 / $4,265.80	Professional		$1,288.25	$2,511.89	$4,265.80
Quartz Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $4,570.88 / $6,760.83	Facility		$4,570.88	$4,570.88	$6,760.83
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $5,011.87 / $7,413.10	Professional		$1,778.28	$5,011.87	$7,413.10
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 $3,019.95 / $6,456.54 / $6,760.83	Professional		$3,019.95	$6,456.54	$6,760.83
United Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $3,801.89 / $6,606.93	Facility		$2,884.03	$3,801.89	$6,606.93
United Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,659.59 / $4,570.88	Professional		$1,000.00	$1,659.59	$4,570.88