Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $2,187.76 / $14,454.40	Facility		$977.24	$2,187.76	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,122.02 / $3,467.37	Professional		$933.25	$1,122.02	$3,467.37
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 $1,047.13 / $2,041.74 / $5,495.41	Professional		$1,047.13	$2,041.74	$5,495.41
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 $1,548.82 / $4,168.69 / $4,786.30	Professional		$1,548.82	$4,168.69	$4,786.30
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,737.80 / $3,981.07	Facility		$1,047.13	$1,737.80	$3,981.07
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,511.89 / $3,235.94	Professional		$1,905.46	$2,511.89	$3,235.94
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $2,137.96 / $15,135.61	Facility		$1,047.13	$2,137.96	$15,135.61
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,905.46 / $7,943.28	Professional		$1,122.02	$1,905.46	$7,943.28
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 $1,548.82 / $2,344.23 / $3,548.13	Professional		$1,548.82	$2,344.23	$3,548.13
Quartz Facility/Professional Facility Modifier Low / Median / High Price $15,135.61 / $22,387.21 / $22,387.21	Facility		$15,135.61	$22,387.21	$22,387.21
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $5,128.61 / $7,762.47	Professional		$1,995.26	$5,128.61	$7,762.47
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,715.35 / $3,715.35 / $3,715.35	Professional		$3,715.35	$3,715.35	$3,715.35
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,311.31 / $6,165.95 / $6,760.83	Professional		$3,311.31	$6,165.95	$6,760.83
United Facility/Professional Facility Modifier Low / Median / High Price $7,585.78 / $12,302.69 / $16,595.87	Facility		$7,585.78	$12,302.69	$16,595.87
United Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,621.81 / $4,365.16	Professional		$1,071.52	$1,621.81	$4,365.16