Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,995.26 / $14,454.40	Facility		$954.99	$1,995.26	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,071.52 / $3,019.95	Professional		$912.01	$1,071.52	$3,019.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $8,128.31 / $13,489.63	Facility		$5,011.87	$8,128.31	$13,489.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,995.26 / $4,897.79	Professional		$977.24	$1,995.26	$4,897.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $2,951.21 / $4,677.35	Facility		$2,511.89	$2,951.21	$4,677.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $3,981.07 / $4,466.84	Professional		$1,412.54	$3,981.07	$4,466.84
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $2,041.74 / $6,760.83	Facility		$977.24	$2,041.74	$6,760.83
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,344.23 / $3,019.95	Professional		$1,737.80	$2,344.23	$3,019.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $2,137.96 / $15,135.61	Facility		$977.24	$2,137.96	$15,135.61
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,862.09 / $11,481.54	Professional		$1,071.52	$1,862.09	$11,481.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,348.96	Professional		$32.36	$33.11	$1,348.96
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,344.23 / $3,630.78	Professional		$1,548.82	$2,344.23	$3,630.78
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $16,218.10 / $16,218.10	Facility		$2,511.89	$16,218.10	$16,218.10
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $4,786.30 / $11,481.54	Professional		$1,737.80	$4,786.30	$11,481.54
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $3,162.28 / $3,162.28	Professional		$3,162.28	$3,162.28	$3,162.28
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,235.94 / $6,025.60 / $6,165.95	Professional		$3,235.94	$6,025.60	$6,165.95
United Facility/Professional Facility Modifier Low / Median / High Price $8,912.51 / $13,803.84 / $17,782.79	Facility		$8,912.51	$13,803.84	$17,782.79
United Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,584.89 / $4,168.69	Professional		$1,047.13	$1,584.89	$4,168.69