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 / $2,344.23	Professional		$851.14	$1,148.15	$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 / $1,737.80 / $5,011.87	Professional		$912.01	$1,737.80	$5,011.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $2,754.23 / $4,365.16	Facility		$2,344.23	$2,754.23	$4,365.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $2,884.03 / $3,715.35	Professional		$1,479.11	$2,884.03	$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 $1,949.84 / $2,398.83 / $2,818.38	Professional		$1,949.84	$2,398.83	$2,818.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $13,182.57 / $23,442.29	Facility		$1,071.52	$13,182.57	$23,442.29
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $2,041.74 / $8,317.64	Professional		$1,122.02	$2,041.74	$8,317.64
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 $1,659.59 / $2,344.23 / $3,890.45	Professional		$1,659.59	$2,344.23	$3,890.45
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $17,378.01 / $17,378.01	Facility		$2,344.23	$17,378.01	$17,378.01
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $4,466.84 / $11,748.98	Professional		$1,584.89	$4,466.84	$11,748.98
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,677.35 / $4,677.35 / $4,677.35	Professional		$4,677.35	$4,677.35	$4,677.35
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,168.69 / $6,309.57 / $6,309.57	Professional		$4,168.69	$6,309.57	$6,309.57
United Facility/Professional Facility Modifier Low / Median / High Price $10,000.00 / $18,197.01 / $24,547.09	Facility		$10,000.00	$18,197.01	$24,547.09
United Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,862.09 / $4,168.69	Professional		$1,096.48	$1,862.09	$4,168.69