Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $2,089.30 / $14,454.40	Facility		$1,288.25	$2,089.30	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,288.25 / $3,890.45	Professional		$954.99	$1,288.25	$3,890.45
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 $1,023.29 / $1,949.84 / $5,754.40	Professional		$1,023.29	$1,949.84	$5,754.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $3,090.30 / $4,897.79	Facility		$2,630.27	$3,090.30	$4,897.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $3,235.94 / $4,073.80	Professional		$1,659.59	$3,235.94	$4,073.80
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $7,244.36 / $13,489.63	Facility		$1,202.26	$7,244.36	$13,489.63
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,691.53 / $3,162.28	Professional		$2,187.76	$2,691.53	$3,162.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $2,818.38 / $9,549.93	Facility		$1,174.90	$2,818.38	$9,549.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $2,238.72 / $9,332.54	Professional		$1,230.27	$2,238.72	$9,332.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,445.44	Professional		$32.36	$33.11	$1,445.44
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,630.27 / $4,365.16	Professional		$1,862.09	$2,630.27	$4,365.16
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $31,622.78 / $31,622.78	Facility		$2,630.27	$31,622.78	$31,622.78
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $5,011.87 / $10,471.29	Professional		$1,778.28	$5,011.87	$10,471.29
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,370.32 / $5,370.32 / $5,370.32	Professional		$5,370.32	$5,370.32	$5,370.32
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,786.30 / $7,079.46 / $7,079.46	Professional		$4,786.30	$7,079.46	$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 / $4,570.88	Professional		$1,230.27	$2,089.30	$4,570.88