Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $6,456.54 / $10,000.00	Facility		$524.81	$6,456.54	$10,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $537.03 / $1,380.38	Professional		$354.81	$537.03	$1,380.38
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 $512.86 / $776.25 / $1,862.09	Professional		$512.86	$776.25	$1,862.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $1,698.24 / $2,691.53	Facility		$1,445.44	$1,698.24	$2,691.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $1,380.38 / $2,511.89	Professional		$512.86	$1,380.38	$2,511.89
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $630.96 / $4,677.35	Facility		$389.05	$630.96	$4,677.35
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,047.13 / $1,479.11	Professional		$724.44	$1,047.13	$1,479.11
Medica Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $741.31 / $7,244.36	Facility		$389.05	$741.31	$7,244.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $1,047.13 / $3,981.07	Professional		$501.19	$1,047.13	$3,981.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $478.63	Professional		$32.36	$33.11	$478.63
Quartz Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,202.26 / $1,819.70	Professional		$724.44	$1,202.26	$1,819.70
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $3,235.94 / $4,786.30	Facility		$1,737.80	$3,235.94	$4,786.30
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $323.59 / $323.59 / $478.63	Facility	AS	$323.59	$323.59	$478.63
Quartz Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $2,570.40 / $3,890.45	Professional		$691.83	$2,570.40	$3,890.45
Security Health Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $2,454.71 / $3,467.37	Professional		$851.14	$2,454.71	$3,467.37
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 $398.11 / $707.95 / $1,905.46	Professional		$398.11	$707.95	$1,905.46