Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $2,089.30 / $14,454.40	Facility		$1,047.13	$2,089.30	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,047.13 / $2,570.40	Professional		$954.99	$1,047.13	$2,570.40
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 $1,023.29 / $1,949.84 / $4,897.79	Professional		$1,023.29	$1,949.84	$4,897.79
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 $1,479.11 / $3,235.94 / $3,715.35	Professional		$1,479.11	$3,235.94	$3,715.35
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $6,760.83 / $13,489.63	Facility		$1,122.02	$6,760.83	$13,489.63
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,511.89 / $3,162.28	Professional		$1,819.70	$2,511.89	$3,162.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $2,818.38 / $7,943.28	Facility		$1,122.02	$2,818.38	$7,943.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,819.70 / $7,585.78	Professional		$1,047.13	$1,819.70	$7,585.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,380.38	Professional		$32.36	$33.11	$1,380.38
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $2,344.23 / $3,981.07	Professional		$1,202.26	$2,344.23	$3,981.07
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $9,332.54 / $9,332.54	Facility		$2,630.27	$9,332.54	$9,332.54
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $5,011.87 / $7,585.78	Professional		$1,412.54	$5,011.87	$7,585.78
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,248.07 / $5,248.07 / $5,248.07	Professional		$5,248.07	$5,248.07	$5,248.07
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,786.30 / $6,025.60 / $7,585.78	Professional		$4,786.30	$6,025.60	$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 $1,000.00 / $1,698.24 / $4,365.16	Professional		$1,000.00	$1,698.24	$4,365.16