Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,905.46 / $14,454.40	Facility		$1,412.54	$1,905.46	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,023.29 / $1,778.28	Professional		$812.83	$1,023.29	$1,778.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $8,317.64 / $14,125.38	Facility		$5,011.87	$8,317.64	$14,125.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,819.70 / $4,365.16	Professional		$812.83	$1,819.70	$4,365.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $2,884.03 / $4,677.35	Facility		$2,511.89	$2,884.03	$4,677.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $2,511.89 / $3,467.37	Professional		$1,096.48	$2,511.89	$3,467.37
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $3,162.28 / $5,754.40	Facility		$977.24	$3,162.28	$5,754.40
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,290.87 / $2,630.27	Professional		$1,698.24	$2,290.87	$2,630.27
Medica Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $4,265.80 / $11,481.54	Facility		$977.24	$4,265.80	$11,481.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,698.24 / $6,918.31	Professional		$851.14	$1,698.24	$6,918.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $85.11	Professional		$32.36	$33.11	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,949.84 / $2,818.38	Professional		$912.01	$1,949.84	$2,818.38
Quartz Facility/Professional Facility Modifier Low / Median / High Price $6,165.95 / $8,912.51 / $8,912.51	Facility		$6,165.95	$8,912.51	$8,912.51
Quartz Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $4,168.69 / $6,606.93	Professional		$831.76	$4,168.69	$6,606.93
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,466.84 / $4,466.84 / $4,466.84	Professional		$4,466.84	$4,466.84	$4,466.84
Security Health Facility/Professional Facility Modifier Low / Median / High Price $5,128.61 / $5,128.61 / $5,128.61	Facility		$5,128.61	$5,128.61	$5,128.61
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,235.94 / $9,120.11 / $9,120.11	Professional		$3,235.94	$9,120.11	$9,120.11
United Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $10,232.93 / $13,182.57	Facility		$6,606.93	$10,232.93	$13,182.57
United Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,445.44 / $3,630.78	Professional		$794.33	$1,445.44	$3,630.78