Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,862.09 / $14,454.40	Facility		$1,148.15	$1,862.09	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,148.15 / $2,290.87	Professional		$851.14	$1,148.15	$2,290.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,882.50 / $18,197.01 / $29,512.09	Facility		$12,882.50	$18,197.01	$29,512.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,737.80 / $5,128.61	Professional		$912.01	$1,737.80	$5,128.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $2,691.53 / $4,265.80	Facility		$2,290.87	$2,691.53	$4,265.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,818.38 / $3,235.94	Professional		$1,548.82	$2,818.38	$3,235.94
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $7,413.10 / $14,454.40	Facility		$1,047.13	$7,413.10	$14,454.40
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,398.83 / $2,754.23	Professional		$1,905.46	$2,398.83	$2,754.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $3,388.44 / $9,549.93	Facility		$1,047.13	$3,388.44	$9,549.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,949.84 / $5,128.61	Professional		$1,122.02	$1,949.84	$5,128.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,288.25	Professional		$32.36	$33.11	$1,288.25
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $2,290.87 / $3,235.94	Professional		$1,445.44	$2,290.87	$3,235.94
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $2,344.23 / $22,387.21	Facility		$2,344.23	$2,344.23	$22,387.21
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $4,570.88 / $6,760.83	Professional		$1,548.82	$4,570.88	$6,760.83
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,786.30 / $4,786.30 / $4,786.30	Professional		$4,786.30	$4,786.30	$4,786.30
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,248.07 / $6,309.57 / $6,760.83	Professional		$5,248.07	$6,309.57	$6,760.83
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 $1,096.48 / $1,905.46 / $4,168.69	Professional		$1,096.48	$1,905.46	$4,168.69