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 $870.96 / $1,148.15 / $2,344.23	Professional		$870.96	$1,148.15	$2,344.23
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 $912.01 / $1,778.28 / $5,128.61	Professional		$912.01	$1,778.28	$5,128.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $2,691.53 / $4,365.16	Facility		$2,344.23	$2,691.53	$4,365.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,884.03 / $3,630.78	Professional		$1,513.56	$2,884.03	$3,630.78
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 / $10,232.93 / $16,595.87	Facility		$1,071.52	$10,232.93	$16,595.87
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $2,041.74 / $6,918.31	Professional		$1,148.15	$2,041.74	$6,918.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,348.96	Professional		$32.36	$33.11	$1,348.96
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,290.87 / $3,890.45	Professional		$1,621.81	$2,290.87	$3,890.45
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 $1,584.89 / $4,570.88 / $6,760.83	Professional		$1,584.89	$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 $4,365.16 / $6,309.57 / $6,309.57	Professional		$4,365.16	$6,309.57	$6,309.57
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 $1,096.48 / $1,862.09 / $4,168.69	Professional		$1,096.48	$1,862.09	$4,168.69