Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,737.80 / $14,454.40	Facility		$1,023.29	$1,737.80	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,023.29 / $2,187.76	Professional		$794.33	$1,023.29	$2,187.76
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 $851.14 / $1,659.59 / $4,168.69	Professional		$851.14	$1,659.59	$4,168.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $2,570.40 / $4,073.80	Facility		$2,187.76	$2,570.40	$4,073.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $2,691.53 / $3,019.95	Professional		$1,380.38	$2,691.53	$3,019.95
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $6,918.31 / $13,489.63	Facility		$1,000.00	$6,918.31	$13,489.63
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,089.30 / $2,630.27	Professional		$1,513.56	$2,089.30	$2,630.27
Medica Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $2,818.38 / $7,943.28	Facility		$977.24	$2,818.38	$7,943.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,584.89 / $6,456.54	Professional		$912.01	$1,584.89	$6,456.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,202.26	Professional		$32.36	$33.11	$1,202.26
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $2,187.76 / $3,388.44	Professional		$1,148.15	$2,187.76	$3,388.44
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $13,182.57 / $13,182.57	Facility		$2,187.76	$13,182.57	$13,182.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $4,168.69 / $6,309.57	Professional		$1,479.11	$4,168.69	$6,309.57
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,089.30 / $2,089.30	Professional		$2,089.30	$2,089.30	$2,089.30
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $4,677.35 / $5,128.61	Professional		$1,949.84	$4,677.35	$5,128.61
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 $851.14 / $1,412.54 / $3,715.35	Professional		$851.14	$1,412.54	$3,715.35