Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $2,187.76 / $14,454.40	Facility		$1,584.89	$2,187.76	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,148.15 / $2,041.74	Professional		$977.24	$1,148.15	$2,041.74
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 $954.99 / $2,089.30 / $5,011.87	Professional		$954.99	$2,089.30	$5,011.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $3,311.31 / $5,248.07	Facility		$2,818.38	$3,311.31	$5,248.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $2,818.38 / $3,890.45	Professional		$1,258.93	$2,818.38	$3,890.45
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $3,162.28 / $5,754.40	Facility		$1,023.29	$3,162.28	$5,754.40
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,630.27 / $3,162.28	Professional		$1,949.84	$2,630.27	$3,162.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $4,265.80 / $11,481.54	Facility		$1,122.02	$4,265.80	$11,481.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,995.26 / $7,943.28	Professional		$977.24	$1,995.26	$7,943.28
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 $1,023.29 / $2,187.76 / $3,162.28	Professional		$1,023.29	$2,187.76	$3,162.28
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 $1,023.29 / $4,897.79 / $7,585.78	Professional		$1,023.29	$4,897.79	$7,585.78
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,011.87 / $5,011.87 / $5,011.87	Professional		$5,011.87	$5,011.87	$5,011.87
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 $3,981.07 / $10,232.93 / $10,232.93	Professional		$3,981.07	$10,232.93	$10,232.93
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 $912.01 / $1,698.24 / $4,265.80	Professional		$912.01	$1,698.24	$4,265.80