Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,659.59 / $14,454.40	Facility		$794.33	$1,659.59	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $831.76 / $2,041.74	Professional		$741.31	$831.76	$2,041.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13,803.84 / $18,197.01 / $29,512.09	Facility		$13,803.84	$18,197.01	$29,512.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,621.81 / $4,168.69	Professional		$794.33	$1,621.81	$4,168.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $2,454.71 / $3,890.45	Facility		$2,089.30	$2,454.71	$3,890.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $3,311.31 / $3,715.35	Professional		$1,047.13	$3,311.31	$3,715.35
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,621.81 / $6,918.31	Facility		$812.83	$1,621.81	$6,918.31
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,949.84 / $2,511.89	Professional		$1,445.44	$1,949.84	$2,511.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $1,659.59 / $19,498.45	Facility		$831.76	$1,659.59	$19,498.45
Medica Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,412.54 / $6,025.60	Professional		$794.33	$1,412.54	$6,025.60
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 $1,174.90 / $1,778.28 / $2,691.53	Professional		$1,174.90	$1,778.28	$2,691.53
Quartz Facility/Professional Facility Modifier Low / Median / High Price $56,234.13 / $83,176.38 / $83,176.38	Facility		$56,234.13	$83,176.38	$83,176.38
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $3,890.45 / $5,888.44	Professional		$1,445.44	$3,890.45	$5,888.44
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $2,630.27 / $2,630.27	Professional		$2,630.27	$2,630.27	$2,630.27
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $4,466.84 / $5,128.61	Professional		$2,290.87	$4,466.84	$5,128.61
United Facility/Professional Facility Modifier Low / Median / High Price $8,709.64 / $16,982.44 / $22,387.21	Facility		$8,709.64	$16,982.44	$22,387.21
United Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,202.26 / $3,311.31	Professional		$794.33	$1,202.26	$3,311.31