Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $2,041.74 / $11,220.18	Facility		$1,096.48	$2,041.74	$11,220.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,096.48 / $3,311.31	Professional		$933.25	$1,096.48	$3,311.31
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 $977.24 / $1,905.46 / $5,623.41	Professional		$977.24	$1,905.46	$5,623.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $3,019.95 / $4,786.30	Facility		$2,570.40	$3,019.95	$4,786.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $2,187.76 / $4,168.69	Professional		$1,071.52	$2,187.76	$4,168.69
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $2,884.03 / $5,754.40	Facility		$977.24	$2,884.03	$5,754.40
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,454.71 / $3,090.30	Professional		$1,778.28	$2,454.71	$3,090.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $2,951.21 / $15,135.61	Facility		$1,071.52	$2,951.21	$15,135.61
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,584.89 / $6,309.57	Professional		$1,000.00	$1,584.89	$6,309.57
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 / $3,311.31	Professional		$1,548.82	$2,187.76	$3,311.31
Quartz Facility/Professional Facility Modifier Low / Median / High Price $11,220.18 / $16,595.87 / $16,595.87	Facility		$11,220.18	$16,595.87	$16,595.87
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,819.70 / $10,000.00	Professional		$1,047.13	$1,819.70	$10,000.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,630.78 / $3,630.78 / $3,630.78	Professional		$3,630.78	$3,630.78	$3,630.78
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,548.13 / $5,011.87 / $5,623.41	Professional		$3,548.13	$5,011.87	$5,623.41
United Facility/Professional Facility Modifier Low / Median / High Price $7,585.78 / $12,302.69 / $16,218.10	Facility		$7,585.78	$12,302.69	$16,218.10
United Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,479.11 / $4,265.80	Professional		$954.99	$1,479.11	$4,265.80