Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $2,187.76 / $14,454.40	Facility		$1,174.90	$2,187.76	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,071.52 / $2,691.53	Professional		$954.99	$1,071.52	$2,691.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $11,220.18 / $18,197.01	Facility		$6,606.93	$11,220.18	$18,197.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $2,089.30 / $4,897.79	Professional		$1,023.29	$2,089.30	$4,897.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $3,311.31 / $5,248.07	Facility		$2,818.38	$3,311.31	$5,248.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $3,235.94 / $3,715.35	Professional		$1,621.81	$3,235.94	$3,715.35
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 $1,047.13 / $1,778.28 / $8,128.31	Professional		$1,047.13	$1,778.28	$8,128.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,380.38	Professional		$32.36	$33.11	$1,380.38
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $2,511.89 / $3,467.37	Professional		$1,288.25	$2,511.89	$3,467.37
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $8,709.64 / $8,709.64	Facility		$2,754.23	$8,709.64	$8,709.64
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $5,128.61 / $7,762.47	Professional		$1,621.81	$5,128.61	$7,762.47
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $2,691.53 / $2,691.53	Professional		$2,691.53	$2,691.53	$2,691.53
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $5,754.40 / $5,888.44	Professional		$2,398.83	$5,754.40	$5,888.44
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 $1,000.00 / $1,621.81 / $4,466.84	Professional		$1,000.00	$1,621.81	$4,466.84