Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $281.84 / $2,630.27	Facility		$281.84	$281.84	$2,630.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,445.44 / $3,890.45	Professional		$1,071.52	$1,445.44	$3,890.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $7,943.28 / $12,589.25	Facility		$5,011.87	$7,943.28	$12,589.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $2,454.71 / $5,011.87	Professional		$1,202.26	$2,454.71	$5,011.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $3,890.45 / $6,165.95	Facility		$3,311.31	$3,890.45	$6,165.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $3,801.89 / $4,365.16	Professional		$1,819.70	$3,801.89	$4,365.16
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $6,918.31 / $13,489.63	Facility		$1,513.56	$6,918.31	$13,489.63
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $3,162.28 / $3,981.07	Professional		$2,290.87	$3,162.28	$3,981.07
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $2,691.53 / $7,943.28	Facility		$1,412.54	$2,691.53	$7,943.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $2,089.30 / $10,000.00	Professional		$1,202.26	$2,089.30	$10,000.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,659.59	Professional		$32.36	$33.11	$1,659.59
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $3,162.28 / $4,365.16	Professional		$1,659.59	$3,162.28	$4,365.16
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $12,302.69 / $12,302.69	Facility		$3,311.31	$12,302.69	$12,302.69
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $6,025.60 / $9,549.93	Professional		$1,819.70	$6,025.60	$9,549.93
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $2,344.23 / $2,344.23	Professional		$2,344.23	$2,344.23	$2,344.23
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $3,981.07 / $4,073.80	Professional		$2,454.71	$3,981.07	$4,073.80
United Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $4,786.30 / $19,498.45	Facility		$1,778.28	$4,786.30	$19,498.45
United Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,905.46 / $3,801.89	Professional		$1,202.26	$1,905.46	$3,801.89