Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $2,238.72 / $14,454.40	Facility		$1,047.13	$2,238.72	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,096.48 / $2,691.53	Professional		$977.24	$1,096.48	$2,691.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $10,964.78 / $18,197.01	Facility		$6,606.93	$10,964.78	$18,197.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $2,187.76 / $5,888.44	Professional		$1,096.48	$2,187.76	$5,888.44
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 $1,380.38 / $4,365.16 / $5,011.87	Professional		$1,380.38	$4,365.16	$5,011.87
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $2,238.72 / $6,918.31	Facility		$1,047.13	$2,238.72	$6,918.31
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,570.40 / $3,311.31	Professional		$1,905.46	$2,570.40	$3,311.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $2,344.23 / $15,135.61	Facility		$1,096.48	$2,344.23	$15,135.61
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,905.46 / $10,000.00	Professional		$1,047.13	$1,905.46	$10,000.00
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 $1,548.82 / $2,344.23 / $3,548.13	Professional		$1,548.82	$2,344.23	$3,548.13
Quartz Facility/Professional Facility Modifier Low / Median / High Price $11,220.18 / $16,595.87 / $16,595.87	Facility		$11,220.18	$16,595.87	$16,595.87
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $5,370.32 / $10,000.00	Professional		$1,905.46	$5,370.32	$10,000.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,548.13 / $3,548.13 / $3,548.13	Professional		$3,548.13	$3,548.13	$3,548.13
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,235.94 / $6,025.60 / $6,918.31	Professional		$3,235.94	$6,025.60	$6,918.31
United Facility/Professional Facility Modifier Low / Median / High Price $7,585.78 / $12,302.69 / $16,218.10	Facility		$7,585.78	$12,302.69	$16,218.10
United Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,621.81 / $4,570.88	Professional		$1,023.29	$1,621.81	$4,570.88