Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $2,187.76 / $14,454.40	Facility		$1,288.25	$2,187.76	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,230.27 / $2,691.53	Professional		$977.24	$1,230.27	$2,691.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,585.78 / $12,882.50 / $21,877.62	Facility		$7,585.78	$12,882.50	$21,877.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $2,089.30 / $5,011.87	Professional		$1,023.29	$2,089.30	$5,011.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $3,235.94 / $5,128.61	Facility		$2,754.23	$3,235.94	$5,128.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $3,311.31 / $3,801.89	Professional		$1,513.56	$3,311.31	$3,801.89
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $5,128.61 / $9,549.93	Facility		$1,288.25	$5,128.61	$9,549.93
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 $1,230.27 / $7,079.46 / $13,803.84	Facility		$1,230.27	$7,079.46	$13,803.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,905.46 / $7,943.28	Professional		$1,071.52	$1,905.46	$7,943.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,445.44	Professional		$32.36	$33.11	$1,445.44
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $2,344.23 / $3,981.07	Professional		$1,202.26	$2,344.23	$3,981.07
Quartz Facility/Professional Facility Modifier Low / Median / High Price $7,762.47 / $11,748.98 / $11,748.98	Facility		$7,762.47	$11,748.98	$11,748.98
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $5,128.61 / $7,762.47	Professional		$1,445.44	$5,128.61	$7,762.47
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $2,630.27 / $2,630.27	Professional		$2,630.27	$2,630.27	$2,630.27
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $5,754.40 / $6,456.54	Professional		$2,398.83	$5,754.40	$6,456.54
United Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $10,232.93 / $14,454.40	Facility		$6,606.93	$10,232.93	$14,454.40
United Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,698.24 / $4,466.84	Professional		$1,000.00	$1,698.24	$4,466.84