Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,949.84 / $14,454.40	Facility		$933.25	$1,949.84	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $977.24 / $2,570.40	Professional		$870.96	$977.24	$2,570.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $8,128.31 / $13,489.63	Facility		$5,011.87	$8,128.31	$13,489.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,949.84 / $4,677.35	Professional		$933.25	$1,949.84	$4,677.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $2,884.03 / $4,570.88	Facility		$2,454.71	$2,884.03	$4,570.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $3,890.45 / $4,365.16	Professional		$1,230.27	$3,890.45	$4,365.16
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,862.09 / $10,000.00	Facility		$933.25	$1,862.09	$10,000.00
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,290.87 / $2,884.03	Professional		$1,698.24	$2,290.87	$2,884.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,949.84 / $19,498.45	Facility		$954.99	$1,949.84	$19,498.45
Medica Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,698.24 / $7,079.46	Professional		$954.99	$1,698.24	$7,079.46
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 / $2,137.96 / $3,235.94	Professional		$1,412.54	$2,137.96	$3,235.94
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $6,606.93 / $6,606.93	Facility		$2,454.71	$6,606.93	$6,606.93
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $4,570.88 / $6,918.31	Professional		$1,698.24	$4,570.88	$6,918.31
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,090.30 / $3,090.30 / $3,090.30	Professional		$3,090.30	$3,090.30	$3,090.30
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $5,248.07 / $6,025.60	Professional		$2,691.53	$5,248.07	$6,025.60
United Facility/Professional Facility Modifier Low / Median / High Price $8,709.64 / $16,218.10 / $21,379.62	Facility		$8,709.64	$16,218.10	$21,379.62
United Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,445.44 / $3,890.45	Professional		$933.25	$1,445.44	$3,890.45