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 / $1,148.15 / $2,754.23	Professional		$977.24	$1,148.15	$2,754.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $8,128.31 / $13,489.63	Facility		$5,011.87	$8,128.31	$13,489.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $2,089.30 / $5,248.07	Professional		$1,023.29	$2,089.30	$5,248.07
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 $1,348.96 / $4,466.84 / $5,128.61	Professional		$1,348.96	$4,466.84	$5,128.61
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $2,187.76 / $10,471.29	Facility		$1,071.52	$2,187.76	$10,471.29
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,570.40 / $3,311.31	Professional		$1,949.84	$2,570.40	$3,311.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $2,238.72 / $15,135.61	Facility		$1,071.52	$2,238.72	$15,135.61
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,819.70 / $8,128.31	Professional		$1,071.52	$1,819.70	$8,128.31
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 $1,862.09 / $2,754.23 / $4,265.80	Professional		$1,862.09	$2,754.23	$4,265.80
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $14,125.38 / $14,125.38	Facility		$2,754.23	$14,125.38	$14,125.38
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $5,128.61 / $7,943.28	Professional		$1,905.46	$5,128.61	$7,943.28
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,467.37 / $3,467.37 / $3,467.37	Professional		$3,467.37	$3,467.37	$3,467.37
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $6,309.57 / $6,918.31	Professional		$2,344.23	$6,309.57	$6,918.31
United Facility/Professional Facility Modifier Low / Median / High Price $8,912.51 / $13,803.84 / $17,782.79	Facility		$8,912.51	$13,803.84	$17,782.79
United Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,584.89 / $4,365.16	Professional		$1,071.52	$1,584.89	$4,365.16