Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,905.46 / $14,454.40	Facility		$1,174.90	$1,905.46	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,174.90 / $2,344.23	Professional		$870.96	$1,174.90	$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 / $1,778.28 / $5,248.07	Professional		$912.01	$1,778.28	$5,248.07
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 $1,548.82 / $2,884.03 / $3,715.35	Professional		$1,548.82	$2,884.03	$3,715.35
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $7,244.36 / $14,454.40	Facility		$1,071.52	$7,244.36	$14,454.40
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 / $2,818.38 / $9,549.93	Facility		$1,071.52	$2,818.38	$9,549.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $2,137.96 / $8,317.64	Professional		$1,202.26	$2,137.96	$8,317.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,445.44	Professional		$32.36	$33.11	$1,445.44
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,290.87 / $3,981.07	Professional		$1,621.81	$2,290.87	$3,981.07
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $12,022.64 / $12,022.64	Facility		$2,344.23	$12,022.64	$12,022.64
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $4,677.35 / $8,317.64	Professional		$1,584.89	$4,677.35	$8,317.64
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 $4,677.35 / $6,309.57 / $6,606.93	Professional		$4,677.35	$6,309.57	$6,606.93
United Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $6,165.95 / $19,498.45	Facility		$2,290.87	$6,165.95	$19,498.45
United Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,949.84 / $4,168.69	Professional		$1,122.02	$1,949.84	$4,168.69