Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $2,041.74 / $14,454.40	Facility		$1,258.93	$2,041.74	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,258.93 / $2,570.40	Professional		$933.25	$1,258.93	$2,570.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,000.00 / $13,803.84 / $21,877.62	Facility		$10,000.00	$13,803.84	$21,877.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,949.84 / $5,495.41	Professional		$1,000.00	$1,949.84	$5,495.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $3,019.95 / $4,786.30	Facility		$2,570.40	$3,019.95	$4,786.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $3,162.28 / $3,801.89	Professional		$1,621.81	$3,162.28	$3,801.89
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $7,244.36 / $13,489.63	Facility		$1,174.90	$7,244.36	$13,489.63
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,630.27 / $3,090.30	Professional		$2,137.96	$2,630.27	$3,090.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $3,388.44 / $9,549.93	Facility		$1,148.15	$3,388.44	$9,549.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $2,137.96 / $9,120.11	Professional		$1,202.26	$2,137.96	$9,120.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,412.54	Professional		$32.36	$33.11	$1,412.54
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,570.40 / $4,265.80	Professional		$1,819.70	$2,570.40	$4,265.80
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $19,054.61 / $19,054.61	Facility		$2,570.40	$19,054.61	$19,054.61
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $4,897.79 / $9,549.93	Professional		$1,737.80	$4,897.79	$9,549.93
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,128.61 / $5,128.61 / $5,128.61	Professional		$5,128.61	$5,128.61	$5,128.61
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,677.35 / $6,918.31 / $6,918.31	Professional		$4,677.35	$6,918.31	$6,918.31
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 $1,174.90 / $1,995.26 / $4,466.84	Professional		$1,174.90	$1,995.26	$4,466.84