Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,778.28 / $14,454.40	Facility		$1,288.25	$1,778.28	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,000.00 / $1,479.11	Professional		$794.33	$1,000.00	$1,479.11
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 $851.14 / $1,659.59 / $4,073.80	Professional		$851.14	$1,659.59	$4,073.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $2,630.27 / $4,168.69	Facility		$2,238.72	$2,630.27	$4,168.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $2,290.87 / $3,162.28	Professional		$1,071.52	$2,290.87	$3,162.28
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $6,760.83 / $13,489.63	Facility		$933.25	$6,760.83	$13,489.63
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $2,137.96 / $2,454.71	Professional		$1,584.89	$2,137.96	$2,454.71
DeanCare Facility/Professional Professional Modifier 55 Low / Median / High Price $316.23 / $426.58 / $489.78	Professional	55	$316.23	$426.58	$489.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $7,585.78 / $15,848.93	Facility		$933.25	$7,585.78	$15,848.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,698.24 / $6,309.57	Professional		$891.25	$1,698.24	$6,309.57
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 $933.25 / $1,698.24 / $2,511.89	Professional		$933.25	$1,698.24	$2,511.89
Quartz Facility/Professional Facility Modifier Low / Median / High Price $14,454.40 / $21,379.62 / $21,379.62	Facility		$14,454.40	$21,379.62	$21,379.62
Quartz Facility/Professional Facility Modifier 54 Low / Median / High Price $10,232.93 / $14,791.08 / $14,791.08	Facility	54	$10,232.93	$14,791.08	$14,791.08
Quartz Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $3,548.13 / $6,165.95	Professional		$912.01	$3,548.13	$6,165.95
Security Health Facility/Professional Facility Modifier Low / Median / High Price $11,748.98 / $11,748.98 / $11,748.98	Facility		$11,748.98	$11,748.98	$11,748.98
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $8,317.64 / $8,317.64	Professional		$3,162.28	$8,317.64	$8,317.64
United Facility/Professional Facility Modifier Low / Median / High Price $7,585.78 / $12,302.69 / $16,218.10	Facility		$7,585.78	$12,302.69	$16,218.10
United Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,513.56 / $3,715.35	Professional		$851.14	$1,513.56	$3,715.35