Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,949.84 / $14,454.40	Facility		$1,202.26	$1,949.84	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,202.26 / $2,398.83	Professional		$954.99	$1,202.26	$2,398.83
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 / $1,819.70 / $5,248.07	Professional		$1,023.29	$1,819.70	$5,248.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $2,818.38 / $4,466.84	Facility		$2,398.83	$2,818.38	$4,466.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $2,951.21 / $3,715.35	Professional		$1,584.89	$2,951.21	$3,715.35
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $7,244.36 / $13,489.63	Facility		$1,096.48	$7,244.36	$13,489.63
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,454.71 / $2,884.03	Professional		$1,995.26	$2,454.71	$2,884.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $2,818.38 / $9,549.93	Facility		$1,096.48	$2,818.38	$9,549.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $2,089.30 / $8,709.64	Professional		$1,230.27	$2,089.30	$8,709.64
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 $1,659.59 / $2,344.23 / $3,981.07	Professional		$1,659.59	$2,344.23	$3,981.07
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $10,000.00 / $10,000.00	Facility		$2,398.83	$10,000.00	$10,000.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $4,786.30 / $10,471.29	Professional		$1,621.81	$4,786.30	$10,471.29
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,897.79 / $4,897.79 / $4,897.79	Professional		$4,897.79	$4,897.79	$4,897.79
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,570.88 / $6,456.54 / $6,606.93	Professional		$4,570.88	$6,456.54	$6,606.93
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 $1,148.15 / $1,995.26 / $4,265.80	Professional		$1,148.15	$1,995.26	$4,265.80