Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,778.28 / $14,454.40	Facility		$1,096.48	$1,778.28	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,096.48 / $2,238.72	Professional		$812.83	$1,096.48	$2,238.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $8,317.64 / $14,125.38	Facility		$5,011.87	$8,317.64	$14,125.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,659.59 / $5,011.87	Professional		$851.14	$1,659.59	$5,011.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $2,570.40 / $4,168.69	Facility		$2,238.72	$2,570.40	$4,168.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $2,754.23 / $3,467.37	Professional		$1,412.54	$2,754.23	$3,467.37
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $7,244.36 / $13,489.63	Facility		$1,023.29	$7,244.36	$13,489.63
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,290.87 / $2,691.53	Professional		$1,862.09	$2,290.87	$2,691.53
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $7,244.36 / $12,302.69	Facility		$1,023.29	$7,244.36	$12,302.69
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,995.26 / $6,606.93	Professional		$1,071.52	$1,995.26	$6,606.93
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 $1,548.82 / $2,187.76 / $3,715.35	Professional		$1,548.82	$2,187.76	$3,715.35
Quartz Facility/Professional Facility Modifier Low / Median / High Price $5,248.07 / $7,943.28 / $7,943.28	Facility		$5,248.07	$7,943.28	$7,943.28
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $4,365.16 / $6,456.54	Professional		$1,513.56	$4,365.16	$6,456.54
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,570.88 / $4,570.88 / $4,570.88	Professional		$4,570.88	$4,570.88	$4,570.88
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,168.69 / $6,025.60 / $6,025.60	Professional		$4,168.69	$6,025.60	$6,025.60
United Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $10,232.93 / $12,589.25	Facility		$6,606.93	$10,232.93	$12,589.25
United Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,819.70 / $3,981.07	Professional		$1,047.13	$1,819.70	$3,981.07