Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,949.84 / $14,454.40	Facility		$1,148.15	$1,949.84	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,148.15 / $2,454.71	Professional		$870.96	$1,148.15	$2,454.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,000.00 / $13,803.84 / $22,908.68	Facility		$10,000.00	$13,803.84	$22,908.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,819.70 / $4,677.35	Professional		$933.25	$1,819.70	$4,677.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $2,884.03 / $4,570.88	Facility		$2,454.71	$2,884.03	$4,570.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,951.21 / $3,388.44	Professional		$1,548.82	$2,951.21	$3,388.44
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $6,918.31 / $13,489.63	Facility		$1,148.15	$6,918.31	$13,489.63
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,344.23 / $2,951.21	Professional		$1,698.24	$2,344.23	$2,951.21
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $2,691.53 / $7,943.28	Facility		$1,122.02	$2,691.53	$7,943.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,698.24 / $7,244.36	Professional		$1,000.00	$1,698.24	$7,244.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,318.26	Professional		$32.36	$33.11	$1,318.26
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $2,454.71 / $3,801.89	Professional		$1,258.93	$2,454.71	$3,801.89
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $17,782.79 / $17,782.79	Facility		$2,454.71	$17,782.79	$17,782.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $4,677.35 / $7,079.46	Professional		$1,659.59	$4,677.35	$7,079.46
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 $2,187.76 / $5,248.07 / $5,623.41	Professional		$2,187.76	$5,248.07	$5,623.41
United Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $6,165.95 / $19,498.45	Facility		$2,290.87	$6,165.95	$19,498.45
United Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,548.82 / $4,073.80	Professional		$933.25	$1,548.82	$4,073.80