Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,819.70 / $14,454.40	Facility		$870.96	$1,819.70	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $912.01 / $2,398.83	Professional		$812.83	$912.01	$2,398.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,481.54 / $15,488.17 / $26,302.68	Facility		$11,481.54	$15,488.17	$26,302.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,698.24 / $4,365.16	Professional		$870.96	$1,698.24	$4,365.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $2,691.53 / $4,265.80	Facility		$2,290.87	$2,691.53	$4,265.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $3,630.78 / $4,073.80	Professional		$1,174.90	$3,630.78	$4,073.80
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,819.70 / $10,000.00	Facility		$891.25	$1,819.70	$10,000.00
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $2,137.96 / $2,754.23	Professional		$1,584.89	$2,137.96	$2,754.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,905.46 / $15,135.61	Facility		$912.01	$1,905.46	$15,135.61
Medica Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,659.59 / $7,244.36	Professional		$912.01	$1,659.59	$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 $1,318.26 / $1,995.26 / $3,019.95	Professional		$1,318.26	$1,995.26	$3,019.95
Quartz Facility/Professional Facility Modifier Low / Median / High Price $18,197.01 / $27,542.29 / $27,542.29	Facility		$18,197.01	$27,542.29	$27,542.29
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $4,265.80 / $7,244.36	Professional		$1,584.89	$4,265.80	$7,244.36
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $2,884.03 / $2,884.03	Professional		$2,884.03	$2,884.03	$2,884.03
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $4,897.79 / $5,623.41	Professional		$2,570.40	$4,897.79	$5,623.41
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 $891.25 / $1,318.26 / $3,630.78	Professional		$891.25	$1,318.26	$3,630.78