Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $2,238.72 / $14,454.40	Facility		$1,071.52	$2,238.72	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,122.02 / $2,398.83	Professional		$954.99	$1,122.02	$2,398.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $7,943.28 / $12,589.25	Facility		$5,011.87	$7,943.28	$12,589.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $2,089.30 / $5,370.32	Professional		$1,071.52	$2,089.30	$5,370.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $3,311.31 / $5,248.07	Facility		$2,818.38	$3,311.31	$5,248.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $4,466.84 / $5,011.87	Professional		$1,230.27	$4,466.84	$5,011.87
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,819.70 / $5,495.41	Facility		$1,000.00	$1,819.70	$5,495.41
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,630.27 / $3,235.94	Professional		$1,905.46	$2,630.27	$3,235.94
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $2,238.72 / $8,317.64	Facility		$1,023.29	$2,238.72	$8,317.64
Medica Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,584.89 / $8,128.31	Professional		$794.33	$1,584.89	$8,128.31
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 $1,584.89 / $2,398.83 / $3,715.35	Professional		$1,584.89	$2,398.83	$3,715.35
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $6,025.60 / $8,912.51	Facility		$3,235.94	$6,025.60	$8,912.51
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $5,248.07 / $7,943.28	Professional		$1,949.84	$5,248.07	$7,943.28
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,548.13 / $3,548.13 / $3,548.13	Professional		$3,548.13	$3,548.13	$3,548.13
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $6,025.60 / $6,918.31	Professional		$2,570.40	$6,025.60	$6,918.31
United Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $7,413.10 / $9,120.11	Facility		$4,897.79	$7,413.10	$9,120.11
United Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,513.56 / $4,365.16	Professional		$794.33	$1,513.56	$4,365.16