Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,905.46 / $14,454.40	Facility		$1,174.90	$1,905.46	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,174.90 / $2,344.23	Professional		$851.14	$1,174.90	$2,344.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,000.00 / $13,803.84 / $21,877.62	Facility		$10,000.00	$13,803.84	$21,877.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,778.28 / $5,248.07	Professional		$912.01	$1,778.28	$5,248.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $2,754.23 / $4,466.84	Facility		$2,398.83	$2,754.23	$4,466.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $2,951.21 / $3,715.35	Professional		$1,479.11	$2,951.21	$3,715.35
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $7,244.36 / $13,489.63	Facility		$1,071.52	$7,244.36	$13,489.63
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,454.71 / $2,818.38	Professional		$1,995.26	$2,454.71	$2,818.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $2,818.38 / $9,549.93	Facility		$1,071.52	$2,818.38	$9,549.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $2,089.30 / $8,511.38	Professional		$1,148.15	$2,089.30	$8,511.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,230.27	Professional		$32.36	$33.11	$1,230.27
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,398.83 / $3,981.07	Professional		$1,698.24	$2,398.83	$3,981.07
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $17,378.01 / $17,378.01	Facility		$2,398.83	$17,378.01	$17,378.01
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $4,570.88 / $10,000.00	Professional		$1,621.81	$4,570.88	$10,000.00
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 $4,365.16 / $6,456.54 / $6,456.54	Professional		$4,365.16	$6,456.54	$6,456.54
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