Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $17,782.79	Facility		$1,047.13	$1,047.13	$17,782.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,047.13 / $1,513.56	Professional		$954.99	$1,047.13	$1,513.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $8,128.31 / $13,489.63	Facility		$5,011.87	$8,128.31	$13,489.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $2,089.30 / $5,248.07	Professional		$1,047.13	$2,089.30	$5,248.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $3,235.94 / $5,248.07	Facility		$2,818.38	$3,235.94	$5,248.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $4,466.84 / $5,011.87	Professional		$1,548.82	$4,466.84	$5,011.87
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,905.46 / $10,000.00	Facility		$1,071.52	$1,905.46	$10,000.00
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $3,090.30 / $3,090.30 / $3,090.30	Professional		$3,090.30	$3,090.30	$3,090.30
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 $1,071.52 / $2,137.96 / $8,128.31	Professional		$1,071.52	$2,137.96	$8,128.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $54.95 / $812.83	Professional		$32.36	$54.95	$812.83
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,511.89 / $3,715.35	Professional		$1,659.59	$2,511.89	$3,715.35
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $2,754.23 / $6,760.83	Facility		$2,754.23	$2,754.23	$6,760.83
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $5,128.61 / $7,943.28	Professional		$1,905.46	$5,128.61	$7,943.28
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 $1,995.26 / $7,079.46 / $7,079.46	Professional		$1,995.26	$7,079.46	$7,079.46
United Facility/Professional Facility Modifier Low / Median / High Price $8,912.51 / $13,803.84 / $17,782.79	Facility		$8,912.51	$13,803.84	$17,782.79
United Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,819.70 / $4,365.16	Professional		$1,071.52	$1,819.70	$4,365.16