Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $2,187.76 / $8,511.38	Facility		$1,174.90	$2,187.76	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,174.90 / $3,019.95	Professional		$977.24	$1,174.90	$3,019.95
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 $1,071.52 / $1,995.26 / $5,248.07	Professional		$1,071.52	$1,995.26	$5,248.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $3,235.94 / $5,128.61	Facility		$2,754.23	$3,235.94	$5,128.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $2,238.72 / $4,466.84	Professional		$1,096.48	$2,238.72	$4,466.84
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,412.54 / $5,623.41	Facility		$1,000.00	$1,412.54	$5,623.41
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,290.87 / $3,630.78	Professional		$1,862.09	$2,290.87	$3,630.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,513.56 / $13,182.57	Facility		$1,023.29	$1,513.56	$13,182.57
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,819.70 / $11,481.54	Professional		$1,096.48	$1,819.70	$11,481.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $70.79	Professional		$32.36	$33.11	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $2,290.87 / $3,548.13	Professional		$1,258.93	$2,290.87	$3,548.13
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 $1,096.48 / $5,248.07 / $11,481.54	Professional		$1,096.48	$5,248.07	$11,481.54
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,890.45 / $3,890.45 / $3,890.45	Professional		$3,890.45	$3,890.45	$3,890.45
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $3,981.07 / $5,370.32	Professional		$3,162.28	$3,981.07	$5,370.32
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 $1,023.29 / $1,479.11 / $4,073.80	Professional		$1,023.29	$1,479.11	$4,073.80