Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,905.46 / $14,454.40	Facility		$1,148.15	$1,905.46	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,071.52 / $2,344.23	Professional		$812.83	$1,071.52	$2,344.23
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 $851.14 / $1,819.70 / $4,570.88	Professional		$851.14	$1,819.70	$4,570.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $2,884.03 / $4,677.35	Facility		$2,511.89	$2,884.03	$4,677.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $2,951.21 / $3,311.31	Professional		$1,288.25	$2,951.21	$3,311.31
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $5,128.61 / $9,549.93	Facility		$1,096.48	$5,128.61	$9,549.93
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,344.23 / $2,818.38	Professional		$1,659.59	$2,344.23	$2,818.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $8,317.64 / $15,848.93	Facility		$1,023.29	$8,317.64	$15,848.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,479.11 / $7,244.36	Professional		$870.96	$1,479.11	$7,244.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,202.26	Professional		$32.36	$33.11	$1,202.26
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $2,238.72 / $3,388.44	Professional		$1,148.15	$2,238.72	$3,388.44
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 $1,288.25 / $4,265.80 / $7,244.36	Professional		$1,288.25	$4,265.80	$7,244.36
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $2,290.87 / $2,290.87	Professional		$2,290.87	$2,290.87	$2,290.87
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $5,011.87 / $5,623.41	Professional		$1,949.84	$5,011.87	$5,623.41
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 $831.76 / $1,318.26 / $3,715.35	Professional		$831.76	$1,318.26	$3,715.35