Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $2,041.74 / $14,454.40	Facility		$1,479.11	$2,041.74	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,096.48 / $1,905.46	Professional		$933.25	$1,096.48	$1,905.46
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 $954.99 / $1,905.46 / $4,677.35	Professional		$954.99	$1,905.46	$4,677.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $3,090.30 / $4,897.79	Facility		$2,630.27	$3,090.30	$4,897.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $2,630.27 / $3,630.78	Professional		$1,174.90	$2,630.27	$3,630.78
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $3,715.35 / $7,413.10	Facility		$1,096.48	$3,715.35	$7,413.10
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,454.71 / $2,884.03	Professional		$1,819.70	$2,454.71	$2,884.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $4,073.80 / $8,317.64	Facility		$1,096.48	$4,073.80	$8,317.64
Medica Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,949.84 / $7,413.10	Professional		$954.99	$1,949.84	$7,413.10
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 $933.25 / $1,995.26 / $3,019.95	Professional		$933.25	$1,995.26	$3,019.95
Quartz Facility/Professional Facility Modifier Low / Median / High Price $4,677.35 / $6,918.31 / $6,918.31	Facility		$4,677.35	$6,918.31	$6,918.31
Quartz Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $4,786.30 / $7,079.46	Professional		$977.24	$4,786.30	$7,079.46
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,677.35 / $4,677.35 / $4,677.35	Professional		$4,677.35	$4,677.35	$4,677.35
Security Health Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $3,715.35 / $3,715.35	Facility		$3,715.35	$3,715.35	$3,715.35
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,715.35 / $9,549.93 / $9,549.93	Professional		$3,715.35	$9,549.93	$9,549.93
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 $891.25 / $1,621.81 / $4,168.69	Professional		$891.25	$1,621.81	$4,168.69