Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,905.46 / $8,709.64	Facility		$1,000.00	$1,905.46	$8,709.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,047.13 / $2,344.23	Professional		$851.14	$1,047.13	$2,344.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $8,317.64 / $13,182.57	Facility		$5,011.87	$8,317.64	$13,182.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,778.28 / $4,265.80	Professional		$912.01	$1,778.28	$4,265.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $2,818.38 / $4,466.84	Facility		$2,398.83	$2,818.38	$4,466.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $2,951.21 / $3,388.44	Professional		$1,318.26	$2,951.21	$3,388.44
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $6,918.31 / $13,489.63	Facility		$1,023.29	$6,918.31	$13,489.63
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,290.87 / $2,884.03	Professional		$1,659.59	$2,290.87	$2,884.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $8,317.64 / $15,848.93	Facility		$1,023.29	$8,317.64	$15,848.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,737.80 / $9,772.37	Professional		$933.25	$1,737.80	$9,772.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,258.93	Professional		$32.36	$33.11	$1,258.93
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $2,137.96 / $2,951.21	Professional		$1,096.48	$2,137.96	$2,951.21
Quartz Facility/Professional Facility Modifier Low / Median / High Price $6,309.57 / $9,332.54 / $9,332.54	Facility		$6,309.57	$9,332.54	$9,332.54
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $4,570.88 / $9,772.37	Professional		$1,258.93	$4,570.88	$9,772.37
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $2,570.40 / $2,570.40	Professional		$2,570.40	$2,570.40	$2,570.40
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $4,466.84 / $4,570.88	Professional		$2,691.53	$4,466.84	$4,570.88
United Facility/Professional Facility Modifier Low / Median / High Price $7,585.78 / $12,022.64 / $16,218.10	Facility		$7,585.78	$12,022.64	$16,218.10
United Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,513.56 / $4,073.80	Professional		$891.25	$1,513.56	$4,073.80