Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,621.81 / $14,454.40	Facility		$794.33	$1,621.81	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $812.83 / $2,041.74	Professional		$691.83	$812.83	$2,041.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $7,943.28 / $12,589.25	Facility		$5,011.87	$7,943.28	$12,589.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,584.89 / $3,981.07	Professional		$758.58	$1,584.89	$3,981.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $2,454.71 / $3,981.07	Facility		$2,089.30	$2,454.71	$3,981.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $3,235.94 / $3,715.35	Professional		$1,023.29	$3,235.94	$3,715.35
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,479.11 / $10,000.00	Facility		$794.33	$1,479.11	$10,000.00
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,905.46 / $2,344.23	Professional		$1,412.54	$1,905.46	$2,344.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,621.81 / $8,317.64	Facility		$812.83	$1,621.81	$8,317.64
Medica Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,348.96 / $5,888.44	Professional		$758.58	$1,348.96	$5,888.44
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 $1,230.27 / $1,862.09 / $2,818.38	Professional		$1,230.27	$1,862.09	$2,818.38
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $6,025.60 / $8,912.51	Facility		$3,235.94	$6,025.60	$8,912.51
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $3,715.35 / $5,754.40	Professional		$1,412.54	$3,715.35	$5,754.40
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 $2,089.30 / $4,466.84 / $5,128.61	Professional		$2,089.30	$4,466.84	$5,128.61
United Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $7,413.10 / $9,120.11	Facility		$4,897.79	$7,413.10	$9,120.11
United Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,148.15 / $3,162.28	Professional		$758.58	$1,148.15	$3,162.28