Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $2,089.30 / $14,454.40	Facility		$851.14	$2,089.30	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $954.99 / $2,089.30	Professional		$812.83	$954.99	$2,089.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $4,786.30 / $7,585.78	Facility		$3,311.31	$4,786.30	$7,585.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,949.84 / $4,570.88	Professional		$954.99	$1,949.84	$4,570.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $3,090.30 / $4,897.79	Facility		$2,630.27	$3,090.30	$4,897.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $2,238.72 / $3,019.95	Professional		$1,023.29	$2,238.72	$3,019.95
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $2,951.21 / $6,918.31	Facility		$933.25	$2,951.21	$6,918.31
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,511.89 / $3,162.28	Professional		$1,819.70	$2,511.89	$3,162.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $2,884.03 / $5,754.40	Facility		$1,000.00	$2,884.03	$5,754.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,584.89 / $4,677.35	Professional		$933.25	$1,584.89	$4,677.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,318.26	Professional		$32.36	$33.11	$1,318.26
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $2,187.76 / $3,235.94	Professional		$1,584.89	$2,187.76	$3,235.94
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $8,128.31 / $8,128.31	Facility		$3,801.89	$8,128.31	$8,128.31
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,862.09 / $7,413.10	Professional		$1,000.00	$1,862.09	$7,413.10
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $1,862.09 / $1,862.09	Professional		$1,862.09	$1,862.09	$1,862.09
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $4,265.80 / $4,786.30	Professional		$1,778.28	$4,265.80	$4,786.30
United Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $3,801.89 / $6,606.93	Facility		$2,884.03	$3,801.89	$6,606.93
United Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,445.44 / $3,801.89	Professional		$912.01	$1,445.44	$3,801.89