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 / $14,454.40	Facility		$1,000.00	$1,905.46	$14,454.40
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 $3,311.31 / $4,786.30 / $8,709.64	Facility		$3,311.31	$4,786.30	$8,709.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,778.28 / $4,466.84	Professional		$912.01	$1,778.28	$4,466.84
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 / $3,981.07 / $7,413.10	Facility		$1,023.29	$3,981.07	$7,413.10
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 / $6,309.57 / $12,302.69	Facility		$1,023.29	$6,309.57	$12,302.69
Medica Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,819.70 / $8,511.38	Professional		$954.99	$1,819.70	$8,511.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,318.26	Professional		$32.36	$33.11	$1,318.26
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 $3,715.35 / $5,754.40 / $5,754.40	Facility		$3,715.35	$5,754.40	$5,754.40
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $4,570.88 / $8,511.38	Professional		$1,258.93	$4,570.88	$8,511.38
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $2,511.89 / $2,511.89	Professional		$2,511.89	$2,511.89	$2,511.89
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 $6,309.57 / $10,232.93 / $12,589.25	Facility		$6,309.57	$10,232.93	$12,589.25
United Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,513.56 / $3,981.07	Professional		$912.01	$1,513.56	$3,981.07