Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $2,290.87 / $14,454.40	Facility		$1,047.13	$2,290.87	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,096.48 / $2,754.23	Professional		$954.99	$1,096.48	$2,754.23
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 $1,071.52 / $2,137.96 / $5,011.87	Professional		$1,071.52	$2,137.96	$5,011.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $3,388.44 / $5,495.41	Facility		$2,951.21	$3,388.44	$5,495.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $3,311.31 / $3,715.35	Professional		$1,513.56	$3,311.31	$3,715.35
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $6,918.31 / $13,182.57	Facility		$1,202.26	$6,918.31	$13,182.57
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,754.23 / $3,388.44	Professional		$1,995.26	$2,754.23	$3,388.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $7,585.78 / $15,848.93	Facility		$1,202.26	$7,585.78	$15,848.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,862.09 / $8,317.64	Professional		$1,096.48	$1,862.09	$8,317.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,513.56	Professional		$32.36	$33.11	$1,513.56
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $2,511.89 / $3,630.78	Professional		$1,288.25	$2,511.89	$3,630.78
Quartz Facility/Professional Facility Modifier Low / Median / High Price $11,220.18 / $16,595.87 / $16,595.87	Facility		$11,220.18	$16,595.87	$16,595.87
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $5,370.32 / $8,317.64	Professional		$1,513.56	$5,370.32	$8,317.64
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,090.30 / $3,090.30 / $3,090.30	Professional		$3,090.30	$3,090.30	$3,090.30
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,311.31 / $5,248.07 / $6,309.57	Professional		$3,311.31	$5,248.07	$6,309.57
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 $1,023.29 / $1,659.59 / $4,677.35	Professional		$1,023.29	$1,659.59	$4,677.35