Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $2,089.30 / $8,511.38	Facility		$1,071.52	$2,089.30	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,122.02 / $2,754.23	Professional		$933.25	$1,122.02	$2,754.23
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 $1,000.00 / $1,905.46 / $4,570.88	Professional		$1,000.00	$1,905.46	$4,570.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $3,019.95 / $4,786.30	Facility		$2,570.40	$3,019.95	$4,786.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $3,235.94 / $3,630.78	Professional		$1,445.44	$3,235.94	$3,630.78
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $6,918.31 / $13,489.63	Facility		$1,096.48	$6,918.31	$13,489.63
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,511.89 / $3,090.30	Professional		$1,778.28	$2,511.89	$3,090.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $6,918.31 / $12,302.69	Facility		$1,096.48	$6,918.31	$12,302.69
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,862.09 / $8,912.51	Professional		$1,023.29	$1,862.09	$8,912.51
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 $1,174.90 / $2,290.87 / $3,162.28	Professional		$1,174.90	$2,290.87	$3,162.28
Quartz Facility/Professional Facility Modifier Low / Median / High Price $5,370.32 / $8,128.31 / $8,128.31	Facility		$5,370.32	$8,128.31	$8,128.31
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $4,897.79 / $8,912.51	Professional		$1,380.38	$4,897.79	$8,912.51
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $2,754.23 / $2,754.23	Professional		$2,754.23	$2,754.23	$2,754.23
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,090.30 / $4,897.79 / $4,897.79	Professional		$3,090.30	$4,897.79	$4,897.79
United Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $10,232.93 / $12,589.25	Facility		$6,606.93	$10,232.93	$12,589.25
United Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,659.59 / $4,365.16	Professional		$977.24	$1,659.59	$4,365.16