Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $2,137.96 / $14,454.40	Facility		$1,047.13	$2,137.96	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,148.15 / $2,630.27	Professional		$977.24	$1,148.15	$2,630.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $10,964.78 / $19,054.61	Facility		$6,606.93	$10,964.78	$19,054.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,995.26 / $5,011.87	Professional		$1,000.00	$1,995.26	$5,011.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $3,090.30 / $5,011.87	Facility		$2,691.53	$3,090.30	$5,011.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $3,311.31 / $3,715.35	Professional		$1,548.82	$3,311.31	$3,715.35
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $6,918.31 / $13,489.63	Facility		$1,148.15	$6,918.31	$13,489.63
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,570.40 / $3,235.94	Professional		$1,862.09	$2,570.40	$3,235.94
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $2,691.53 / $7,943.28	Facility		$1,148.15	$2,691.53	$7,943.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,905.46 / $7,762.47	Professional		$1,071.52	$1,905.46	$7,762.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,148.15	Professional		$32.36	$33.11	$1,148.15
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $2,570.40 / $4,168.69	Professional		$1,318.26	$2,570.40	$4,168.69
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $19,498.45 / $19,498.45	Facility		$2,691.53	$19,498.45	$19,498.45
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $5,128.61 / $7,585.78	Professional		$1,412.54	$5,128.61	$7,585.78
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 $4,897.79 / $6,165.95 / $7,585.78	Professional		$4,897.79	$6,165.95	$7,585.78
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 $1,023.29 / $1,698.24 / $4,466.84	Professional		$1,023.29	$1,698.24	$4,466.84