Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $3,090.30 / $7,762.47	Facility		$954.99	$3,090.30	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,122.02 / $3,311.31	Professional		$912.01	$1,122.02	$3,311.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $10,964.78 / $17,378.01	Facility		$6,606.93	$10,964.78	$17,378.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $2,089.30 / $5,370.32	Professional		$1,023.29	$2,089.30	$5,370.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $3,162.28 / $5,248.07	Facility		$2,691.53	$3,162.28	$5,248.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $4,073.80 / $4,677.35	Professional		$1,513.56	$4,073.80	$4,677.35
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,737.80 / $3,981.07	Facility		$1,023.29	$1,737.80	$3,981.07
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,454.71 / $3,162.28	Professional		$1,819.70	$2,454.71	$3,162.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $2,089.30 / $15,135.61	Facility		$1,023.29	$2,089.30	$15,135.61
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,862.09 / $7,762.47	Professional		$1,096.48	$1,862.09	$7,762.47
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 $1,479.11 / $2,238.72 / $3,467.37	Professional		$1,479.11	$2,238.72	$3,467.37
Quartz Facility/Professional Facility Modifier Low / Median / High Price $6,309.57 / $11,748.98 / $17,378.01	Facility		$6,309.57	$11,748.98	$17,378.01
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $5,011.87 / $7,585.78	Professional		$1,949.84	$5,011.87	$7,585.78
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 $1,698.24 / $6,025.60 / $6,760.83	Professional		$1,698.24	$6,025.60	$6,760.83
United Facility/Professional Facility Modifier Low / Median / High Price $7,585.78 / $12,022.64 / $16,218.10	Facility		$7,585.78	$12,022.64	$16,218.10
United Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,548.82 / $4,265.80	Professional		$1,047.13	$1,548.82	$4,265.80