Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $1,148.15 / $14,454.40	Facility		$537.03	$1,148.15	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $562.34 / $1,412.54	Professional		$501.19	$562.34	$1,412.54
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 $537.03 / $1,122.02 / $2,884.03	Professional		$537.03	$1,122.02	$2,884.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $1,698.24 / $2,818.38	Facility		$1,445.44	$1,698.24	$2,818.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $2,238.72 / $2,570.40	Professional		$707.95	$2,238.72	$2,570.40
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $1,096.48 / $10,000.00	Facility		$537.03	$1,096.48	$10,000.00
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,318.26 / $1,698.24	Professional		$1,000.00	$1,318.26	$1,698.24
Medica Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $1,148.15 / $11,220.18	Facility		$537.03	$1,148.15	$11,220.18
Medica Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $977.24 / $4,073.80	Professional		$537.03	$977.24	$4,073.80
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 $831.76 / $1,258.93 / $1,949.84	Professional		$831.76	$1,258.93	$1,949.84
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 $977.24 / $2,630.27 / $4,073.80	Professional		$977.24	$2,630.27	$4,073.80
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $1,778.28 / $1,778.28	Professional		$1,778.28	$1,778.28	$1,778.28
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $3,019.95 / $3,548.13	Professional		$1,548.82	$3,019.95	$3,548.13
United Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $10,232.93 / $12,589.25	Facility		$6,606.93	$10,232.93	$12,589.25
United Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $794.33 / $2,187.76	Professional		$524.81	$794.33	$2,187.76