Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $2,041.74 / $14,454.40	Facility		$1,071.52	$2,041.74	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,096.48 / $2,454.71	Professional		$912.01	$1,096.48	$2,454.71
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 / $4,466.84	Professional		$977.24	$1,905.46	$4,466.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $2,951.21 / $4,786.30	Facility		$2,570.40	$2,951.21	$4,786.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $3,162.28 / $3,548.13	Professional		$1,412.54	$3,162.28	$3,548.13
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $6,918.31 / $13,489.63	Facility		$1,096.48	$6,918.31	$13,489.63
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,454.71 / $3,019.95	Professional		$1,778.28	$2,454.71	$3,019.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $7,079.46 / $13,803.84	Facility		$1,096.48	$7,079.46	$13,803.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,819.70 / $8,511.38	Professional		$1,000.00	$1,819.70	$8,511.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,380.38	Professional		$32.36	$33.11	$1,380.38
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $2,238.72 / $3,162.28	Professional		$1,148.15	$2,238.72	$3,162.28
Quartz Facility/Professional Facility Modifier Low / Median / High Price $18,197.01 / $26,915.35 / $26,915.35	Facility		$18,197.01	$26,915.35	$26,915.35
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $4,897.79 / $8,511.38	Professional		$1,348.96	$4,897.79	$8,511.38
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $2,691.53 / $2,691.53	Professional		$2,691.53	$2,691.53	$2,691.53
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $4,786.30 / $4,897.79	Professional		$2,884.03	$4,786.30	$4,897.79
United Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $10,232.93 / $14,454.40	Facility		$6,606.93	$10,232.93	$14,454.40
United Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,621.81 / $4,265.80	Professional		$977.24	$1,621.81	$4,265.80