Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,949.84 / $14,454.40	Facility		$933.25	$1,949.84	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $977.24 / $2,398.83	Professional		$870.96	$977.24	$2,398.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,715.19 / $15,135.61 / $26,302.68	Facility		$10,715.19	$15,135.61	$26,302.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,905.46 / $4,897.79	Professional		$933.25	$1,905.46	$4,897.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $2,884.03 / $4,897.79	Facility		$2,454.71	$2,884.03	$4,897.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $3,890.45 / $4,365.16	Professional		$1,288.25	$3,890.45	$4,365.16
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,905.46 / $6,918.31	Facility		$954.99	$1,905.46	$6,918.31
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,290.87 / $2,951.21	Professional		$1,698.24	$2,290.87	$2,951.21
Medica Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,949.84 / $15,135.61	Facility		$977.24	$1,949.84	$15,135.61
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,778.28 / $7,079.46	Professional		$1,000.00	$1,778.28	$7,079.46
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 $1,412.54 / $2,137.96 / $3,235.94	Professional		$1,412.54	$2,137.96	$3,235.94
Quartz Facility/Professional Facility Modifier Low / Median / High Price $9,772.37 / $18,197.01 / $26,915.35	Facility		$9,772.37	$18,197.01	$26,915.35
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $4,570.88 / $6,918.31	Professional		$1,698.24	$4,570.88	$6,918.31
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 $2,754.23 / $5,248.07 / $6,025.60	Professional		$2,754.23	$5,248.07	$6,025.60
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 $1,000.00 / $1,445.44 / $3,890.45	Professional		$1,000.00	$1,445.44	$3,890.45