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 $977.24 / $1,288.25 / $2,630.27	Professional		$977.24	$1,288.25	$2,630.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $10,964.78 / $18,197.01	Facility		$6,606.93	$10,964.78	$18,197.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,995.26 / $5,754.40	Professional		$1,023.29	$1,995.26	$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 $1,737.80 / $3,235.94 / $4,073.80	Professional		$1,737.80	$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 $1,202.26 / $2,818.38 / $9,549.93	Facility		$1,202.26	$2,818.38	$9,549.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $2,344.23 / $9,549.93	Professional		$1,348.96	$2,344.23	$9,549.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,698.24	Professional		$32.36	$33.11	$1,698.24
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,570.40 / $4,365.16	Professional		$1,819.70	$2,570.40	$4,365.16
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $10,964.78 / $10,964.78	Facility		$2,630.27	$10,964.78	$10,964.78
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $5,370.32 / $10,232.93	Professional		$1,778.28	$5,370.32	$10,232.93
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 $5,011.87 / $7,079.46 / $7,244.36	Professional		$5,011.87	$7,079.46	$7,244.36
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 $1,258.93 / $2,187.76 / $4,677.35	Professional		$1,258.93	$2,187.76	$4,677.35