Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $2,089.30 / $14,454.40	Facility		$1,122.02	$2,089.30	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,148.15 / $2,089.30	Professional		$954.99	$1,148.15	$2,089.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $8,128.31 / $13,803.84	Facility		$5,011.87	$8,128.31	$13,803.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,905.46 / $5,011.87	Professional		$1,000.00	$1,905.46	$5,011.87
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 $1,071.52 / $2,290.87 / $4,265.80	Professional		$1,071.52	$2,290.87	$4,265.80
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,380.38 / $8,128.31	Facility		$977.24	$1,380.38	$8,128.31
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,187.76 / $3,467.37	Professional		$1,778.28	$2,187.76	$3,467.37
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,412.54 / $5,754.40	Facility		$1,023.29	$1,412.54	$5,754.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,778.28 / $7,762.47	Professional		$1,047.13	$1,778.28	$7,762.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $70.79	Professional		$32.36	$33.11	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $2,344.23 / $3,715.35	Professional		$1,318.26	$2,344.23	$3,715.35
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $9,549.93 / $9,549.93	Facility		$2,630.27	$9,549.93	$9,549.93
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $5,011.87 / $7,413.10	Professional		$1,071.52	$5,011.87	$7,413.10
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,715.35 / $3,715.35 / $3,715.35	Professional		$3,715.35	$3,715.35	$3,715.35
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,235.94 / $3,890.45 / $5,128.61	Professional		$3,235.94	$3,890.45	$5,128.61
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 / $1,445.44 / $3,890.45	Professional		$1,000.00	$1,445.44	$3,890.45