Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $2,089.30 / $14,454.40	Facility		$1,000.00	$2,089.30	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,023.29 / $2,691.53	Professional		$933.25	$1,023.29	$2,691.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,481.54 / $15,488.17 / $26,302.68	Facility		$11,481.54	$15,488.17	$26,302.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $2,089.30 / $5,128.61	Professional		$954.99	$2,089.30	$5,128.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $3,162.28 / $5,370.32	Facility		$2,691.53	$3,162.28	$5,370.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $4,168.69 / $4,786.30	Professional		$1,318.26	$4,168.69	$4,786.30
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,862.09 / $10,000.00	Facility		$1,023.29	$1,862.09	$10,000.00
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,454.71 / $3,090.30	Professional		$1,819.70	$2,454.71	$3,090.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $2,089.30 / $15,135.61	Facility		$1,023.29	$2,089.30	$15,135.61
Medica Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,737.80 / $7,585.78	Professional		$977.24	$1,737.80	$7,585.78
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 $1,548.82 / $2,344.23 / $3,548.13	Professional		$1,548.82	$2,344.23	$3,548.13
Quartz Facility/Professional Facility Modifier Low / Median / High Price $7,244.36 / $13,489.63 / $19,952.62	Facility		$7,244.36	$13,489.63	$19,952.62
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $4,677.35 / $7,413.10	Professional		$1,819.70	$4,677.35	$7,413.10
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,388.44 / $3,388.44 / $3,388.44	Professional		$3,388.44	$3,388.44	$3,388.44
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $5,623.41 / $6,606.93	Professional		$2,754.23	$5,623.41	$6,606.93
United Facility/Professional Facility Modifier Low / Median / High Price $7,585.78 / $12,302.69 / $16,595.87	Facility		$7,585.78	$12,302.69	$16,595.87
United Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,445.44 / $3,981.07	Professional		$977.24	$1,445.44	$3,981.07