Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $4,570.88 / $6,456.54	Facility		$1,318.26	$4,570.88	$6,456.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,258.93 / $2,691.53	Professional		$954.99	$1,258.93	$2,691.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,165.95 / $10,232.93 / $17,378.01	Facility		$6,165.95	$10,232.93	$17,378.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $2,089.30 / $4,897.79	Professional		$933.25	$2,089.30	$4,897.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $3,388.44 / $5,370.32	Facility		$2,884.03	$3,388.44	$5,370.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $3,388.44 / $3,801.89	Professional		$1,445.44	$3,388.44	$3,801.89
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $3,801.89 / $7,413.10	Facility		$977.24	$3,801.89	$7,413.10
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,630.27 / $3,162.28	Professional		$1,905.46	$2,630.27	$3,162.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $5,495.41 / $8,709.64	Facility		$977.24	$5,495.41	$8,709.64
Medica Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,548.82 / $7,943.28	Professional		$977.24	$1,548.82	$7,943.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,258.93	Professional		$32.36	$33.11	$1,258.93
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $2,691.53 / $3,715.35	Professional		$1,380.38	$2,691.53	$3,715.35
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 $1,445.44 / $5,011.87 / $7,585.78	Professional		$1,445.44	$5,011.87	$7,585.78
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $2,691.53 / $2,691.53	Professional		$2,691.53	$2,691.53	$2,691.53
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $6,025.60 / $6,456.54	Professional		$1,071.52	$6,025.60	$6,456.54
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 $954.99 / $1,548.82 / $4,265.80	Professional		$954.99	$1,548.82	$4,265.80