Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,778.28 / $14,454.40	Facility		$1,047.13	$1,778.28	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,047.13 / $2,238.72	Professional		$812.83	$1,047.13	$2,238.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,120.11 / $12,589.25 / $20,417.38	Facility		$9,120.11	$12,589.25	$20,417.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,659.59 / $4,265.80	Professional		$851.14	$1,659.59	$4,265.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $2,630.27 / $4,168.69	Facility		$2,238.72	$2,630.27	$4,168.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $2,691.53 / $3,090.30	Professional		$1,412.54	$2,691.53	$3,090.30
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $6,918.31 / $13,489.63	Facility		$1,047.13	$6,918.31	$13,489.63
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,137.96 / $2,691.53	Professional		$1,548.82	$2,137.96	$2,691.53
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $2,818.38 / $7,943.28	Facility		$1,023.29	$2,818.38	$7,943.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,621.81 / $6,918.31	Professional		$912.01	$1,621.81	$6,918.31
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 / $3,467.37	Professional		$1,148.15	$2,238.72	$3,467.37
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $16,218.10 / $16,218.10	Facility		$2,238.72	$16,218.10	$16,218.10
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $4,265.80 / $6,918.31	Professional		$1,513.56	$4,265.80	$6,918.31
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,137.96 / $2,137.96	Professional		$2,137.96	$2,137.96	$2,137.96
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $4,786.30 / $5,248.07	Professional		$1,995.26	$4,786.30	$5,248.07
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 $851.14 / $1,412.54 / $3,715.35	Professional		$851.14	$1,412.54	$3,715.35