Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,905.46 / $14,454.40	Facility		$891.25	$1,905.46	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $933.25 / $2,344.23	Professional		$794.33	$933.25	$2,344.23
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 $912.01 / $1,778.28 / $4,466.84	Professional		$912.01	$1,778.28	$4,466.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $2,818.38 / $4,466.84	Facility		$2,398.83	$2,818.38	$4,466.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $3,715.35 / $4,265.80	Professional		$1,122.02	$3,715.35	$4,265.80
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,659.59 / $10,000.00	Facility		$891.25	$1,659.59	$10,000.00
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,187.76 / $2,691.53	Professional		$1,659.59	$2,187.76	$2,691.53
Medica Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,862.09 / $15,135.61	Facility		$912.01	$1,862.09	$15,135.61
Medica Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,479.11 / $6,918.31	Professional		$851.14	$1,479.11	$6,918.31
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 $1,348.96 / $2,041.74 / $3,090.30	Professional		$1,348.96	$2,041.74	$3,090.30
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $7,413.10 / $7,413.10	Facility		$2,398.83	$7,413.10	$7,413.10
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $4,466.84 / $6,760.83	Professional		$1,621.81	$4,466.84	$6,760.83
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $2,951.21 / $2,951.21	Professional		$2,951.21	$2,951.21	$2,951.21
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $5,128.61 / $5,888.44	Professional		$1,621.81	$5,128.61	$5,888.44
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 $851.14 / $1,288.25 / $3,715.35	Professional		$851.14	$1,288.25	$3,715.35