Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $2,187.76 / $14,454.40	Facility		$1,071.52	$2,187.76	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,122.02 / $2,691.53	Professional		$1,000.00	$1,122.02	$2,691.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $8,128.31 / $13,489.63	Facility		$5,011.87	$8,128.31	$13,489.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $2,041.74 / $5,128.61	Professional		$1,047.13	$2,041.74	$5,128.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $3,235.94 / $5,128.61	Facility		$2,754.23	$3,235.94	$5,128.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $3,388.44 / $3,890.45	Professional		$1,513.56	$3,388.44	$3,890.45
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $6,918.31 / $13,489.63	Facility		$1,174.90	$6,918.31	$13,489.63
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,630.27 / $3,311.31	Professional		$1,905.46	$2,630.27	$3,311.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $2,818.38 / $7,943.28	Facility		$1,174.90	$2,818.38	$7,943.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $2,041.74 / $8,128.31	Professional		$1,071.52	$2,041.74	$8,128.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,479.11	Professional		$32.36	$33.11	$1,479.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $2,454.71 / $4,168.69	Professional		$1,258.93	$2,454.71	$4,168.69
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $8,511.38 / $8,511.38	Facility		$2,754.23	$8,511.38	$8,511.38
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $5,248.07 / $8,128.31	Professional		$1,445.44	$5,248.07	$8,128.31
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,495.41 / $5,495.41 / $5,495.41	Professional		$5,495.41	$5,495.41	$5,495.41
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,715.35 / $6,309.57 / $7,943.28	Professional		$3,715.35	$6,309.57	$7,943.28
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 $1,047.13 / $1,778.28 / $4,570.88	Professional		$1,047.13	$1,778.28	$4,570.88