Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $2,041.74 / $2,041.74	Facility		$2,041.74	$2,041.74	$2,041.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,089.30 / $2,511.89	Professional		$2,041.74	$2,089.30	$2,511.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $1,778.28 / $1,862.09	Facility		$1,548.82	$1,778.28	$1,862.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $2,089.30 / $2,089.30	Professional		$309.03	$2,089.30	$2,089.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $1,288.25 / $2,137.96	Facility		$831.76	$1,288.25	$2,137.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $3,235.94 / $4,365.16	Professional		$2,137.96	$3,235.94	$4,365.16
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $2,089.30 / $2,691.53	Facility		$302.00	$2,089.30	$2,691.53
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $1,122.02 / $1,202.26	Professional		$245.47	$1,122.02	$1,202.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $2,089.30 / $2,691.53	Facility		$302.00	$2,089.30	$2,691.53
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,089.30 / $8,912.51	Professional		$2,089.30	$2,089.30	$8,912.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $64.57 / $234.42	Professional		$50.12	$64.57	$234.42
Quartz Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $724.44 / $1,071.52	Professional		$338.84	$724.44	$1,071.52
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $2,137.96 / $7,585.78	Facility		$2,137.96	$2,137.96	$7,585.78
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,137.96 / $11,481.54	Professional		$2,137.96	$2,137.96	$11,481.54
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $2,754.23 / $2,754.23	Professional		$2,754.23	$2,754.23	$2,754.23
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,890.45 / $8,912.51 / $8,912.51	Professional		$3,890.45	$8,912.51	$8,912.51
United Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $776.25 / $831.76	Facility		$776.25	$776.25	$831.76
United Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,089.30 / $2,884.03	Professional		$2,089.30	$2,089.30	$2,884.03