Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $2,187.76 / $14,454.40	Facility		$1,096.48	$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 $9,120.11 / $12,589.25 / $22,387.21	Facility		$9,120.11	$12,589.25	$22,387.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $2,041.74 / $5,248.07	Professional		$1,000.00	$2,041.74	$5,248.07
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 $1,548.82 / $3,388.44 / $3,890.45	Professional		$1,548.82	$3,388.44	$3,890.45
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 / $2,630.27 / $3,235.94	Professional		$1,862.09	$2,630.27	$3,235.94
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $2,818.38 / $7,943.28	Facility		$1,148.15	$2,818.38	$7,943.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,819.70 / $7,943.28	Professional		$1,047.13	$1,819.70	$7,943.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,348.96	Professional		$32.36	$33.11	$1,348.96
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $2,398.83 / $4,073.80	Professional		$1,230.27	$2,398.83	$4,073.80
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $8,511.38 / $8,511.38	Facility		$2,691.53	$8,511.38	$8,511.38
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $5,128.61 / $7,762.47	Professional		$1,445.44	$5,128.61	$7,762.47
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 $4,897.79 / $6,309.57 / $7,762.47	Professional		$4,897.79	$6,309.57	$7,762.47
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