Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,737.80 / $14,454.40	Facility		$1,288.25	$1,737.80	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $954.99 / $1,659.59	Professional		$758.58	$954.99	$1,659.59
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 $724.44 / $1,659.59 / $3,981.07	Professional		$724.44	$1,659.59	$3,981.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $2,691.53 / $4,265.80	Facility		$2,290.87	$2,691.53	$4,265.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $2,290.87 / $3,162.28	Professional		$1,000.00	$2,290.87	$3,162.28
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $3,162.28 / $5,754.40	Facility		$812.83	$3,162.28	$5,754.40
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,089.30 / $2,398.83	Professional		$1,548.82	$2,089.30	$2,398.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $4,265.80 / $11,481.54	Facility		$831.76	$4,265.80	$11,481.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,548.82 / $6,309.57	Professional		$776.25	$1,548.82	$6,309.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $85.11	Professional		$32.36	$33.11	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,778.28 / $2,630.27	Professional		$851.14	$1,778.28	$2,630.27
Quartz Facility/Professional Facility Modifier Low / Median / High Price $6,165.95 / $8,912.51 / $8,912.51	Facility		$6,165.95	$8,912.51	$8,912.51
Quartz Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $3,801.89 / $6,165.95	Professional		$776.25	$3,801.89	$6,165.95
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,073.80 / $4,073.80 / $4,073.80	Professional		$4,073.80	$4,073.80	$4,073.80
Security Health Facility/Professional Facility Modifier Low / Median / High Price $5,128.61 / $5,128.61 / $5,128.61	Facility		$5,128.61	$5,128.61	$5,128.61
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $8,317.64 / $8,317.64	Professional		$2,951.21	$8,317.64	$8,317.64
United Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $10,232.93 / $13,182.57	Facility		$6,606.93	$10,232.93	$13,182.57
United Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,318.26 / $3,311.31	Professional		$724.44	$1,318.26	$3,311.31