Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $6,456.54 / $9,120.11	Facility		$1,479.11	$6,456.54	$9,120.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $1,230.27 / $3,467.37	Professional		$676.08	$1,230.27	$3,467.37
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 $707.95 / $1,479.11 / $3,548.13	Professional		$707.95	$1,479.11	$3,548.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $2,187.76 / $3,467.37	Facility		$1,862.09	$2,187.76	$3,467.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $2,951.21 / $3,311.31	Professional		$912.01	$2,951.21	$3,311.31
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,479.11 / $4,168.69	Facility		$724.44	$1,479.11	$4,168.69
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,737.80 / $2,238.72	Professional		$1,288.25	$1,737.80	$2,238.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,659.59 / $8,317.64	Facility		$741.31	$1,659.59	$8,317.64
Medica Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,258.93 / $5,370.32	Professional		$776.25	$1,258.93	$5,370.32
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 $1,096.48 / $1,659.59 / $2,570.40	Professional		$1,096.48	$1,659.59	$2,570.40
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $4,570.88 / $6,760.83	Facility		$2,454.71	$4,570.88	$6,760.83
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $457.09 / $457.09 / $676.08	Facility	AS	$457.09	$457.09	$676.08
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $3,467.37 / $5,248.07	Professional		$1,288.25	$3,467.37	$5,248.07
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $3,981.07 / $4,570.88	Professional		$2,089.30	$3,981.07	$4,570.88
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 $758.58 / $1,122.02 / $2,951.21	Professional		$758.58	$1,122.02	$2,951.21