Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $2,187.76 / $14,454.40	Facility		$977.24	$2,187.76	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,148.15 / $2,187.76	Professional		$977.24	$1,148.15	$2,187.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $4,570.88 / $7,079.46	Facility		$2,630.27	$4,570.88	$7,079.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $2,041.74 / $5,370.32	Professional		$1,023.29	$2,041.74	$5,370.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $3,162.28 / $5,128.61	Facility		$2,754.23	$3,162.28	$5,128.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $4,168.69 / $4,786.30	Professional		$1,737.80	$4,168.69	$4,786.30
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $3,981.07 / $7,413.10	Facility		$1,071.52	$3,981.07	$7,413.10
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,630.27 / $3,235.94	Professional		$1,905.46	$2,630.27	$3,235.94
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $5,128.61 / $8,317.64	Facility		$1,071.52	$5,128.61	$8,317.64
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,862.09 / $8,709.64	Professional		$1,148.15	$1,862.09	$8,709.64
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 $1,479.11 / $2,818.38 / $4,570.88	Professional		$1,479.11	$2,818.38	$4,570.88
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $8,912.51 / $8,912.51	Facility		$3,548.13	$8,912.51	$8,912.51
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $5,011.87 / $8,709.64	Professional		$1,949.84	$5,011.87	$8,709.64
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,630.78 / $3,630.78 / $3,630.78	Professional		$3,630.78	$3,630.78	$3,630.78
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,388.44 / $6,165.95 / $7,244.36	Professional		$3,388.44	$6,165.95	$7,244.36
United Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $7,413.10 / $9,120.11	Facility		$4,897.79	$7,413.10	$9,120.11
United Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,737.80 / $4,570.88	Professional		$1,023.29	$1,737.80	$4,570.88