Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $2,290.87 / $14,454.40	Facility		$1,412.54	$2,290.87	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,412.54 / $2,884.03	Professional		$1,047.13	$1,412.54	$2,884.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,000.00 / $13,803.84 / $22,387.21	Facility		$10,000.00	$13,803.84	$22,387.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $2,137.96 / $6,309.57	Professional		$1,122.02	$2,137.96	$6,309.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $3,388.44 / $5,370.32	Facility		$2,884.03	$3,388.44	$5,370.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $3,548.13 / $4,570.88	Professional		$1,819.70	$3,548.13	$4,570.88
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $7,244.36 / $13,489.63	Facility		$1,318.26	$7,244.36	$13,489.63
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $2,951.21 / $3,467.37	Professional		$2,398.83	$2,951.21	$3,467.37
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $3,388.44 / $9,549.93	Facility		$1,288.25	$3,388.44	$9,549.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $2,511.89 / $10,232.93	Professional		$1,380.38	$2,511.89	$10,232.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,584.89	Professional		$32.36	$33.11	$1,584.89
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,884.03 / $4,786.30	Professional		$2,041.74	$2,884.03	$4,786.30
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $20,892.96 / $20,892.96	Facility		$2,884.03	$20,892.96	$20,892.96
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $5,495.41 / $11,748.98	Professional		$1,949.84	$5,495.41	$11,748.98
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,754.40 / $5,754.40 / $5,754.40	Professional		$5,754.40	$5,754.40	$5,754.40
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,248.07 / $7,762.47 / $7,762.47	Professional		$5,248.07	$7,762.47	$7,762.47
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 $1,348.96 / $2,290.87 / $5,011.87	Professional		$1,348.96	$2,290.87	$5,011.87