Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,949.84 / $14,454.40	Facility		$1,047.13	$1,949.84	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,071.52 / $1,995.26	Professional		$912.01	$1,071.52	$1,995.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $10,964.78 / $19,054.61	Facility		$6,606.93	$10,964.78	$19,054.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,778.28 / $4,677.35	Professional		$933.25	$1,778.28	$4,677.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $2,884.03 / $4,570.88	Facility		$2,454.71	$2,884.03	$4,570.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $2,187.76 / $3,981.07	Professional		$1,047.13	$2,187.76	$3,981.07
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,348.96 / $8,128.31	Facility		$954.99	$1,348.96	$8,128.31
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,089.30 / $3,311.31	Professional		$1,659.59	$2,089.30	$3,311.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,445.44 / $5,754.40	Facility		$954.99	$1,445.44	$5,754.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,819.70 / $7,244.36	Professional		$1,023.29	$1,819.70	$7,244.36
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 $2,454.71 / $17,782.79 / $17,782.79	Facility		$2,454.71	$17,782.79	$17,782.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $4,677.35 / $7,079.46	Professional		$1,023.29	$4,677.35	$7,079.46
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,467.37 / $3,467.37 / $3,467.37	Professional		$3,467.37	$3,467.37	$3,467.37
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $3,981.07 / $4,786.30	Professional		$3,162.28	$3,981.07	$4,786.30
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 $954.99 / $1,380.38 / $3,630.78	Professional		$954.99	$1,380.38	$3,630.78