Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $2,187.76 / $14,454.40	Facility		$1,047.13	$2,187.76	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,071.52 / $2,691.53	Professional		$954.99	$1,071.52	$2,691.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,715.19 / $15,135.61 / $26,302.68	Facility		$10,715.19	$15,135.61	$26,302.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $2,137.96 / $5,370.32	Professional		$1,000.00	$2,137.96	$5,370.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $3,235.94 / $5,370.32	Facility		$2,754.23	$3,235.94	$5,370.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $4,265.80 / $4,897.79	Professional		$1,380.38	$4,265.80	$4,897.79
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,995.26 / $5,495.41	Facility		$1,047.13	$1,995.26	$5,495.41
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 $1,071.52 / $2,187.76 / $15,135.61	Facility		$1,071.52	$2,187.76	$15,135.61
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,819.70 / $7,943.28	Professional		$1,023.29	$1,819.70	$7,943.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $85.11	Professional		$32.36	$33.11	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $2,398.83 / $3,630.78	Professional		$1,584.89	$2,398.83	$3,630.78
Quartz Facility/Professional Facility Modifier Low / Median / High Price $7,244.36 / $13,489.63 / $19,952.62	Facility		$7,244.36	$13,489.63	$19,952.62
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $4,897.79 / $7,762.47	Professional		$1,862.09	$4,897.79	$7,762.47
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,467.37 / $3,467.37 / $3,467.37	Professional		$3,467.37	$3,467.37	$3,467.37
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $5,754.40 / $6,760.83	Professional		$2,187.76	$5,754.40	$6,760.83
United Facility/Professional Facility Modifier Low / Median / High Price $7,585.78 / $12,302.69 / $16,595.87	Facility		$7,585.78	$12,302.69	$16,595.87
United Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,513.56 / $4,168.69	Professional		$1,000.00	$1,513.56	$4,168.69