Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,995.26 / $14,454.40	Facility		$954.99	$1,995.26	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,000.00 / $2,630.27	Professional		$891.25	$1,000.00	$2,630.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,748.98 / $15,488.17 / $27,542.29	Facility		$11,748.98	$15,488.17	$27,542.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,905.46 / $4,677.35	Professional		$954.99	$1,905.46	$4,677.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $2,951.21 / $4,677.35	Facility		$2,511.89	$2,951.21	$4,677.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $3,981.07 / $4,466.84	Professional		$1,230.27	$3,981.07	$4,466.84
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,905.46 / $10,000.00	Facility		$977.24	$1,905.46	$10,000.00
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,344.23 / $3,019.95	Professional		$1,737.80	$2,344.23	$3,019.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,995.26 / $15,135.61	Facility		$977.24	$1,995.26	$15,135.61
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,737.80 / $7,244.36	Professional		$1,000.00	$1,737.80	$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 $1,412.54 / $2,187.76 / $3,311.31	Professional		$1,412.54	$2,187.76	$3,311.31
Quartz Facility/Professional Facility Modifier Low / Median / High Price $11,220.18 / $16,982.44 / $16,982.44	Facility		$11,220.18	$16,982.44	$16,982.44
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $4,677.35 / $7,079.46	Professional		$1,737.80	$4,677.35	$7,079.46
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 $2,754.23 / $5,370.32 / $6,165.95	Professional		$2,754.23	$5,370.32	$6,165.95
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 $977.24 / $1,445.44 / $3,981.07	Professional		$977.24	$1,445.44	$3,981.07