Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $2,238.72 / $14,454.40	Facility		$1,288.25	$2,238.72	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,288.25 / $2,754.23	Professional		$1,000.00	$1,288.25	$2,754.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,120.11 / $12,882.50 / $20,417.38	Facility		$9,120.11	$12,882.50	$20,417.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $2,089.30 / $5,248.07	Professional		$1,071.52	$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 $1,737.80 / $3,388.44 / $3,801.89	Professional		$1,737.80	$3,388.44	$3,801.89
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $6,918.31 / $13,489.63	Facility		$1,230.27	$6,918.31	$13,489.63
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,691.53 / $3,311.31	Professional		$1,905.46	$2,691.53	$3,311.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $2,691.53 / $7,943.28	Facility		$1,230.27	$2,691.53	$7,943.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,905.46 / $8,128.31	Professional		$1,148.15	$1,905.46	$8,128.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,513.56	Professional		$32.36	$33.11	$1,513.56
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $2,818.38 / $4,365.16	Professional		$1,445.44	$2,818.38	$4,365.16
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $20,417.38 / $20,417.38	Facility		$2,818.38	$20,417.38	$20,417.38
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $5,248.07 / $7,943.28	Professional		$1,862.09	$5,248.07	$7,943.28
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 $2,454.71 / $5,888.44 / $6,456.54	Professional		$2,454.71	$5,888.44	$6,456.54
United Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $6,165.95 / $19,498.45	Facility		$2,290.87	$6,165.95	$19,498.45
United Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,698.24 / $4,677.35	Professional		$1,071.52	$1,698.24	$4,677.35