Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $2,137.96 / $14,454.40	Facility		$954.99	$2,137.96	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,071.52 / $2,630.27	Professional		$912.01	$1,071.52	$2,630.27
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 / $1,995.26 / $5,370.32	Professional		$1,023.29	$1,995.26	$5,370.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $3,090.30 / $5,248.07	Facility		$2,691.53	$3,090.30	$5,248.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $4,073.80 / $4,570.88	Professional		$1,513.56	$4,073.80	$4,570.88
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,698.24 / $3,981.07	Facility		$1,000.00	$1,698.24	$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 $1,000.00 / $2,089.30 / $15,135.61	Facility		$1,000.00	$2,089.30	$15,135.61
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,819.70 / $7,762.47	Professional		$1,071.52	$1,819.70	$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 $1,513.56 / $2,290.87 / $3,467.37	Professional		$1,513.56	$2,290.87	$3,467.37
Quartz Facility/Professional Facility Modifier Low / Median / High Price $9,332.54 / $17,782.79 / $26,302.68	Facility		$9,332.54	$17,782.79	$26,302.68
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 $3,548.13 / $3,548.13 / $3,548.13	Professional		$3,548.13	$3,548.13	$3,548.13
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $6,025.60 / $6,606.93	Professional		$3,162.28	$6,025.60	$6,606.93
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 $1,047.13 / $1,548.82 / $4,265.80	Professional		$1,047.13	$1,548.82	$4,265.80