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 $9,120.11 / $12,302.69 / $20,892.96	Facility		$9,120.11	$12,302.69	$20,892.96
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 $2,691.53 / $3,162.28 / $5,011.87	Facility		$2,691.53	$3,162.28	$5,011.87
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 / $6,918.31 / $13,489.63	Facility		$1,148.15	$6,918.31	$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 $1,023.29 / $1,819.70 / $7,943.28	Professional		$1,023.29	$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 $1,202.26 / $2,344.23 / $3,235.94	Professional		$1,202.26	$2,344.23	$3,235.94
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 / $7,585.78	Professional		$1,584.89	$5,128.61	$7,585.78
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 $2,454.71 / $5,623.41 / $5,754.40	Professional		$2,454.71	$5,623.41	$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 / $1,659.59 / $4,466.84	Professional		$977.24	$1,659.59	$4,466.84