Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $2,041.74 / $14,454.40	Facility		$977.24	$2,041.74	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,023.29 / $2,691.53	Professional		$912.01	$1,023.29	$2,691.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $4,786.30 / $7,585.78	Facility		$3,311.31	$4,786.30	$7,585.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,949.84 / $4,897.79	Professional		$977.24	$1,949.84	$4,897.79
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 $1,258.93 / $4,073.80 / $4,570.88	Professional		$1,258.93	$4,073.80	$4,570.88
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $2,041.74 / $7,244.36	Facility		$1,000.00	$2,041.74	$7,244.36
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,398.83 / $3,090.30	Professional		$1,737.80	$2,398.83	$3,090.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $2,137.96 / $8,317.64	Facility		$1,000.00	$2,137.96	$8,317.64
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,659.59 / $7,413.10	Professional		$1,000.00	$1,659.59	$7,413.10
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 $1,445.44 / $2,187.76 / $3,388.44	Professional		$1,445.44	$2,187.76	$3,388.44
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $2,818.38 / $6,918.31	Facility		$2,818.38	$2,818.38	$6,918.31
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $4,786.30 / $7,244.36	Professional		$1,778.28	$4,786.30	$7,244.36
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,235.94 / $3,235.94 / $3,235.94	Professional		$3,235.94	$3,235.94	$3,235.94
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $5,495.41 / $6,309.57	Professional		$2,818.38	$5,495.41	$6,309.57
United Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $7,413.10 / $9,120.11	Facility		$4,786.30	$7,413.10	$9,120.11
United Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,479.11 / $4,073.80	Professional		$977.24	$1,479.11	$4,073.80