Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,778.28 / $1,778.28	Facility		$1,047.13	$1,778.28	$1,778.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,047.13 / $2,238.72	Professional		$741.31	$1,047.13	$2,238.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $4,897.79 / $7,762.47	Facility		$3,311.31	$4,897.79	$7,762.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,698.24 / $3,630.78	Professional		$870.96	$1,698.24	$3,630.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $2,630.27 / $4,168.69	Facility		$2,238.72	$2,630.27	$4,168.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $2,570.40 / $2,884.03	Professional		$1,348.96	$2,570.40	$2,884.03
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $6,918.31 / $13,489.63	Facility		$1,047.13	$6,918.31	$13,489.63
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,137.96 / $2,691.53	Professional		$1,548.82	$2,137.96	$2,691.53
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $2,818.38 / $7,943.28	Facility		$1,023.29	$2,818.38	$7,943.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,584.89 / $6,606.93	Professional		$891.25	$1,584.89	$6,606.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,230.27	Professional		$32.36	$33.11	$1,230.27
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $2,137.96 / $2,951.21	Professional		$1,096.48	$2,137.96	$2,951.21
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $8,317.64 / $8,317.64	Facility		$2,238.72	$8,317.64	$8,317.64
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $4,365.16 / $6,456.54	Professional		$1,230.27	$4,365.16	$6,456.54
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,621.81 / $1,621.81	Professional		$1,621.81	$1,621.81	$1,621.81
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,691.53 / $2,884.03	Professional		$1,778.28	$2,691.53	$2,884.03
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $4,897.79 / $19,498.45	Facility		$1,995.26	$4,897.79	$19,498.45
United Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,380.38 / $2,818.38	Professional		$870.96	$1,380.38	$2,818.38