Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,995.26 / $2,454.71	Facility		$1,071.52	$1,995.26	$2,454.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $758.58 / $1,380.38	Professional		$323.59	$758.58	$1,380.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $2,398.83 / $2,454.71	Facility		$1,949.84	$2,398.83	$2,454.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $363.08 / $3,630.78	Professional		$363.08	$363.08	$3,630.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $2,884.03 / $4,570.88	Facility		$2,454.71	$2,884.03	$4,570.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $2,137.96 / $2,818.38	Professional		$1,023.29	$2,137.96	$2,818.38
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $3,715.35 / $5,248.07	Facility		$1,000.00	$3,715.35	$5,248.07
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $5,370.32 / $5,370.32 / $6,025.60	Professional		$5,370.32	$5,370.32	$6,025.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,071.52 / $3,162.28	Facility		$812.83	$1,071.52	$3,162.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $537.03 / $4,466.84	Professional		$407.38	$537.03	$4,466.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $70.79 / $588.84	Professional		$54.95	$70.79	$588.84
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,137.96 / $2,951.21	Professional		$1,548.82	$2,137.96	$2,951.21
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $4,265.80 / $4,265.80	Facility		$1,819.70	$4,265.80	$4,265.80
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $4,466.84 / $4,466.84	Professional		$1,071.52	$4,466.84	$4,466.84
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $1,905.46 / $1,905.46	Professional		$1,905.46	$1,905.46	$1,905.46
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $4,897.79 / $6,918.31	Professional		$2,630.27	$4,897.79	$6,918.31
United Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $724.44 / $1,071.52	Facility		$724.44	$724.44	$1,071.52
United Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $537.03 / $1,479.11	Professional		$380.19	$537.03	$1,479.11