Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $2,041.74 / $14,454.40	Facility		$954.99	$2,041.74	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,000.00 / $2,511.89	Professional		$891.25	$1,000.00	$2,511.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $7,943.28 / $13,182.57	Facility		$5,011.87	$7,943.28	$13,182.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,995.26 / $5,248.07	Professional		$954.99	$1,995.26	$5,248.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $3,019.95 / $4,786.30	Facility		$2,570.40	$3,019.95	$4,786.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $4,073.80 / $5,011.87	Professional		$1,348.96	$4,073.80	$5,011.87
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,949.84 / $6,456.54	Facility		$977.24	$1,949.84	$6,456.54
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,344.23 / $2,951.21	Professional		$1,737.80	$2,344.23	$2,951.21
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $2,041.74 / $11,481.54	Facility		$1,000.00	$2,041.74	$11,481.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,698.24 / $7,244.36	Professional		$1,000.00	$1,698.24	$7,244.36
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 $1,479.11 / $2,238.72 / $3,388.44	Professional		$1,479.11	$2,238.72	$3,388.44
Quartz Facility/Professional Facility Modifier Low / Median / High Price $13,489.63 / $19,952.62 / $19,952.62	Facility		$13,489.63	$19,952.62	$19,952.62
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $4,677.35 / $7,413.10	Professional		$1,737.80	$4,677.35	$7,413.10
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $3,162.28 / $3,162.28	Professional		$3,162.28	$3,162.28	$3,162.28
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $5,370.32 / $6,165.95	Professional		$2,818.38	$5,370.32	$6,165.95
United Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $10,232.93 / $14,454.40	Facility		$6,606.93	$10,232.93	$14,454.40
United Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,479.11 / $3,981.07	Professional		$954.99	$1,479.11	$3,981.07