Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,698.24 / $14,454.40	Facility		$1,047.13	$1,698.24	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,047.13 / $2,137.96	Professional		$776.25	$1,047.13	$2,137.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $10,964.78 / $18,197.01	Facility		$6,606.93	$10,964.78	$18,197.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,584.89 / $4,677.35	Professional		$831.76	$1,584.89	$4,677.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $2,454.71 / $3,981.07	Facility		$2,137.96	$2,454.71	$3,981.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $2,630.27 / $3,311.31	Professional		$1,380.38	$2,630.27	$3,311.31
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $7,244.36 / $13,489.63	Facility		$977.24	$7,244.36	$13,489.63
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,187.76 / $2,570.40	Professional		$1,778.28	$2,187.76	$2,570.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $10,232.93 / $16,595.87	Facility		$977.24	$10,232.93	$16,595.87
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,819.70 / $6,309.57	Professional		$1,047.13	$1,819.70	$6,309.57
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 $1,479.11 / $2,089.30 / $3,548.13	Professional		$1,479.11	$2,089.30	$3,548.13
Quartz Facility/Professional Facility Modifier Low / Median / High Price $9,120.11 / $13,803.84 / $13,803.84	Facility		$9,120.11	$13,803.84	$13,803.84
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $4,168.69 / $6,165.95	Professional		$1,445.44	$4,168.69	$6,165.95
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,265.80 / $4,265.80 / $4,265.80	Professional		$4,265.80	$4,265.80	$4,265.80
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,981.07 / $5,754.40 / $5,754.40	Professional		$3,981.07	$5,754.40	$5,754.40
United Facility/Professional Facility Modifier Low / Median / High Price $8,912.51 / $13,803.84 / $17,378.01	Facility		$8,912.51	$13,803.84	$17,378.01
United Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,737.80 / $3,801.89	Professional		$1,000.00	$1,737.80	$3,801.89