Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,949.84 / $14,454.40	Facility		$1,202.26	$1,949.84	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,202.26 / $2,454.71	Professional		$891.25	$1,202.26	$2,454.71
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 $954.99 / $1,862.09 / $5,248.07	Professional		$954.99	$1,862.09	$5,248.07
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 / $3,019.95 / $3,890.45	Professional		$1,548.82	$3,019.95	$3,890.45
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $7,244.36 / $13,489.63	Facility		$1,122.02	$7,244.36	$13,489.63
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,511.89 / $2,951.21	Professional		$2,041.74	$2,511.89	$2,951.21
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $12,302.69 / $19,952.62	Facility		$1,122.02	$12,302.69	$19,952.62
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $2,187.76 / $8,709.64	Professional		$1,174.90	$2,187.76	$8,709.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,380.38	Professional		$32.36	$33.11	$1,380.38
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,454.71 / $4,073.80	Professional		$1,737.80	$2,454.71	$4,073.80
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $18,197.01 / $18,197.01	Facility		$2,454.71	$18,197.01	$18,197.01
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $4,786.30 / $10,232.93	Professional		$1,659.59	$4,786.30	$10,232.93
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,011.87 / $5,011.87 / $5,011.87	Professional		$5,011.87	$5,011.87	$5,011.87
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,365.16 / $6,606.93 / $6,760.83	Professional		$4,365.16	$6,606.93	$6,760.83
United Facility/Professional Facility Modifier Low / Median / High Price $8,709.64 / $16,218.10 / $21,379.62	Facility		$8,709.64	$16,218.10	$21,379.62
United Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,995.26 / $4,365.16	Professional		$1,148.15	$1,995.26	$4,365.16