Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,737.80 / $14,454.40	Facility		$1,071.52	$1,737.80	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,071.52 / $2,137.96	Professional		$776.25	$1,071.52	$2,137.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $7,943.28 / $12,589.25	Facility		$5,011.87	$7,943.28	$12,589.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,621.81 / $4,677.35	Professional		$831.76	$1,621.81	$4,677.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $2,511.89 / $4,073.80	Facility		$2,187.76	$2,511.89	$4,073.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $2,630.27 / $3,388.44	Professional		$1,348.96	$2,630.27	$3,388.44
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $7,244.36 / $13,489.63	Facility		$977.24	$7,244.36	$13,489.63
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,238.72 / $2,630.27	Professional		$1,819.70	$2,238.72	$2,630.27
Medica Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $2,818.38 / $9,549.93	Facility		$977.24	$2,818.38	$9,549.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,819.70 / $6,309.57	Professional		$1,023.29	$1,819.70	$6,309.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,174.90	Professional		$32.36	$33.11	$1,174.90
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,238.72 / $3,630.78	Professional		$1,548.82	$2,238.72	$3,630.78
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $15,848.93 / $15,848.93	Facility		$2,187.76	$15,848.93	$15,848.93
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $4,168.69 / $6,165.95	Professional		$1,479.11	$4,168.69	$6,165.95
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,365.16 / $4,365.16 / $4,365.16	Professional		$4,365.16	$4,365.16	$4,365.16
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,981.07 / $5,888.44 / $5,888.44	Professional		$3,981.07	$5,888.44	$5,888.44
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 $1,000.00 / $1,698.24 / $3,801.89	Professional		$1,000.00	$1,698.24	$3,801.89