Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $2,137.96 / $14,454.40	Facility		$1,023.29	$2,137.96	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,071.52 / $2,818.38	Professional		$954.99	$1,071.52	$2,818.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,220.18 / $16,982.44 / $28,840.32	Facility		$11,220.18	$16,982.44	$28,840.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $2,137.96 / $5,495.41	Professional		$1,023.29	$2,137.96	$5,495.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $3,162.28 / $5,370.32	Facility		$2,691.53	$3,162.28	$5,370.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $4,265.80 / $4,786.30	Professional		$1,348.96	$4,265.80	$4,786.30
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $2,089.30 / $6,456.54	Facility		$1,047.13	$2,089.30	$6,456.54
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,511.89 / $3,090.30	Professional		$1,862.09	$2,511.89	$3,090.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $2,137.96 / $15,135.61	Facility		$1,071.52	$2,137.96	$15,135.61
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,949.84 / $7,762.47	Professional		$1,071.52	$1,949.84	$7,762.47
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 $13,489.63 / $25,703.96 / $38,018.94	Facility		$13,489.63	$25,703.96	$38,018.94
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $5,011.87 / $7,585.78	Professional		$1,862.09	$5,011.87	$7,585.78
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,388.44 / $3,388.44 / $3,388.44	Professional		$3,388.44	$3,388.44	$3,388.44
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $5,754.40 / $6,606.93	Professional		$2,187.76	$5,754.40	$6,606.93
United Facility/Professional Facility Modifier Low / Median / High Price $7,585.78 / $12,302.69 / $16,595.87	Facility		$7,585.78	$12,302.69	$16,595.87
United Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,584.89 / $4,265.80	Professional		$1,047.13	$1,584.89	$4,265.80