Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $2,041.74 / $14,454.40	Facility		$977.24	$2,041.74	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,023.29 / $2,511.89	Professional		$912.01	$1,023.29	$2,511.89
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 $977.24 / $2,041.74 / $4,897.79	Professional		$977.24	$2,041.74	$4,897.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $3,019.95 / $4,786.30	Facility		$2,570.40	$3,019.95	$4,786.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $4,073.80 / $4,570.88	Professional		$1,288.25	$4,073.80	$4,570.88
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $2,041.74 / $4,168.69	Facility		$1,000.00	$2,041.74	$4,168.69
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,344.23 / $3,090.30	Professional		$1,778.28	$2,344.23	$3,090.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $2,238.72 / $8,317.64	Facility		$1,000.00	$2,238.72	$8,317.64
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,778.28 / $7,413.10	Professional		$1,071.52	$1,778.28	$7,413.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $70.79	Professional		$32.36	$33.11	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $2,137.96 / $3,311.31	Professional		$1,412.54	$2,137.96	$3,311.31
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $4,570.88 / $6,918.31	Facility		$2,454.71	$4,570.88	$6,918.31
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $457.09 / $457.09 / $691.83	Facility	AS	$457.09	$457.09	$691.83
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $4,786.30 / $7,244.36	Professional		$1,737.80	$4,786.30	$7,244.36
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $5,495.41 / $6,309.57	Professional		$2,818.38	$5,495.41	$6,309.57
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 $1,047.13 / $1,548.82 / $4,073.80	Professional		$1,047.13	$1,548.82	$4,073.80