Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $2,238.72 / $15,848.93	Facility		$1,202.26	$2,238.72	$15,848.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,288.25 / $5,011.87	Professional		$1,000.00	$1,288.25	$5,011.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,022.64 / $16,982.44 / $28,840.32	Facility		$12,022.64	$16,982.44	$28,840.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $2,137.96 / $5,011.87	Professional		$1,071.52	$2,137.96	$5,011.87
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 $1,659.59 / $3,467.37 / $3,981.07	Professional		$1,659.59	$3,467.37	$3,981.07
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $7,079.46 / $13,489.63	Facility		$1,202.26	$7,079.46	$13,489.63
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,691.53 / $3,388.44	Professional		$1,949.84	$2,691.53	$3,388.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $9,772.37 / $17,378.01	Facility		$1,202.26	$9,772.37	$17,378.01
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,995.26 / $8,317.64	Professional		$1,096.48	$1,995.26	$8,317.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,479.11	Professional		$32.36	$33.11	$1,479.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $2,454.71 / $3,801.89	Professional		$1,288.25	$2,454.71	$3,801.89
Quartz Facility/Professional Facility Modifier Low / Median / High Price $18,620.87 / $27,542.29 / $27,542.29	Facility		$18,620.87	$27,542.29	$27,542.29
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $5,370.32 / $7,943.28	Professional		$1,659.59	$5,370.32	$7,943.28
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 $2,630.27 / $5,888.44 / $6,025.60	Professional		$2,630.27	$5,888.44	$6,025.60
United Facility/Professional Facility Modifier Low / Median / High Price $8,912.51 / $13,803.84 / $17,782.79	Facility		$8,912.51	$13,803.84	$17,782.79
United Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,737.80 / $4,677.35	Professional		$1,047.13	$1,737.80	$4,677.35