Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,737.80 / $14,454.40	Facility		$1,023.29	$1,737.80	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $870.96 / $2,187.76	Professional		$707.95	$870.96	$2,187.76
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 $812.83 / $1,659.59 / $3,388.44	Professional		$812.83	$1,659.59	$3,388.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $2,570.40 / $4,073.80	Facility		$2,187.76	$2,570.40	$4,073.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $2,570.40 / $2,951.21	Professional		$1,202.26	$2,570.40	$2,951.21
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $6,918.31 / $13,489.63	Facility		$1,023.29	$6,918.31	$13,489.63
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,089.30 / $2,630.27	Professional		$1,513.56	$2,089.30	$2,630.27
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $2,818.38 / $7,943.28	Facility		$1,000.00	$2,818.38	$7,943.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,479.11 / $6,456.54	Professional		$891.25	$1,479.11	$6,456.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,122.02	Professional		$32.36	$33.11	$1,122.02
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $2,041.74 / $2,818.38	Professional		$1,047.13	$2,041.74	$2,818.38
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $7,079.46 / $7,079.46	Facility		$2,187.76	$7,079.46	$7,079.46
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $4,168.69 / $6,309.57	Professional		$1,202.26	$4,168.69	$6,309.57
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,584.89 / $1,584.89	Professional		$1,584.89	$1,584.89	$1,584.89
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,630.27 / $2,691.53	Professional		$1,513.56	$2,630.27	$2,691.53
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 $812.83 / $1,380.38 / $3,548.13	Professional		$812.83	$1,380.38	$3,548.13