Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $2,137.96 / $14,454.40	Facility		$1,148.15	$2,137.96	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,071.52 / $2,630.27	Professional		$933.25	$1,071.52	$2,630.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $10,964.78 / $18,197.01	Facility		$6,606.93	$10,964.78	$18,197.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $2,041.74 / $4,786.30	Professional		$1,000.00	$2,041.74	$4,786.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $3,162.28 / $5,128.61	Facility		$2,754.23	$3,162.28	$5,128.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $3,162.28 / $3,630.78	Professional		$1,584.89	$3,162.28	$3,630.78
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $6,760.83 / $13,489.63	Facility		$1,148.15	$6,760.83	$13,489.63
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,570.40 / $3,235.94	Professional		$1,862.09	$2,570.40	$3,235.94
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $6,309.57 / $12,302.69	Facility		$1,148.15	$6,309.57	$12,302.69
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 / $1,412.54	Professional		$32.36	$33.11	$1,412.54
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $2,398.83 / $3,311.31	Professional		$1,230.27	$2,398.83	$3,311.31
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 $1,584.89 / $5,128.61 / $7,762.47	Professional		$1,584.89	$5,128.61	$7,762.47
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $2,630.27 / $2,630.27	Professional		$2,630.27	$2,630.27	$2,630.27
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $5,754.40 / $5,754.40	Professional		$2,754.23	$5,754.40	$5,754.40
United Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $10,232.93 / $12,589.25	Facility		$4,265.80	$10,232.93	$12,589.25
United Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,698.24 / $4,466.84	Professional		$977.24	$1,698.24	$4,466.84