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 $2,398.83 / $3,235.94 / $6,309.57	Facility		$2,398.83	$3,235.94	$6,309.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,905.46 / $5,623.41	Professional		$1,000.00	$1,905.46	$5,623.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $2,951.21 / $4,677.35	Facility		$2,511.89	$2,951.21	$4,677.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $3,162.28 / $3,548.13	Professional		$1,584.89	$3,162.28	$3,548.13
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $7,244.36 / $13,489.63	Facility		$1,047.13	$7,244.36	$13,489.63
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,630.27 / $3,019.95	Professional		$2,137.96	$2,630.27	$3,019.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $2,691.53 / $4,466.84	Facility		$1,096.48	$2,691.53	$4,466.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $2,137.96 / $7,585.78	Professional		$1,096.48	$2,137.96	$7,585.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,621.81	Professional		$32.36	$33.11	$1,621.81
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,511.89 / $4,265.80	Professional		$1,778.28	$2,511.89	$4,265.80
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $12,882.50 / $12,882.50	Facility		$2,570.40	$12,882.50	$12,882.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $5,011.87 / $7,413.10	Professional		$1,737.80	$5,011.87	$7,413.10
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 $4,786.30 / $6,918.31 / $6,918.31	Professional		$4,786.30	$6,918.31	$6,918.31
United Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $2,884.03 / $5,011.87	Facility		$2,238.72	$2,884.03	$5,011.87
United Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,995.26 / $4,570.88	Professional		$1,122.02	$1,995.26	$4,570.88