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 / $3,890.45	Professional		$933.25	$1,258.93	$3,890.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,882.50 / $18,197.01 / $30,199.52	Facility		$12,882.50	$18,197.01	$30,199.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,949.84 / $5,888.44	Professional		$1,000.00	$1,949.84	$5,888.44
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 $1,737.80 / $3,162.28 / $3,548.13	Professional		$1,737.80	$3,162.28	$3,548.13
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $7,762.47 / $14,454.40	Facility		$1,174.90	$7,762.47	$14,454.40
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,630.27 / $2,951.21	Professional		$2,137.96	$2,630.27	$2,951.21
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 $1,258.93 / $2,089.30 / $5,754.40	Professional		$1,258.93	$2,089.30	$5,754.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $70.79	Professional		$32.36	$33.11	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $2,344.23 / $3,235.94	Professional		$1,479.11	$2,344.23	$3,235.94
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $2,570.40 / $12,882.50	Facility		$2,570.40	$2,570.40	$12,882.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $4,073.80 / $7,413.10	Professional		$1,737.80	$4,073.80	$7,413.10
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,248.07 / $5,248.07 / $5,248.07	Professional		$5,248.07	$5,248.07	$5,248.07
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,466.84 / $6,918.31 / $7,079.46	Professional		$4,466.84	$6,918.31	$7,079.46
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 $1,230.27 / $2,089.30 / $4,677.35	Professional		$1,230.27	$2,089.30	$4,677.35