Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $9,332.54 / $17,782.79	Facility		$1,000.00	$9,332.54	$17,782.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $1,000.00 / $2,511.89	Professional		$588.84	$1,000.00	$2,511.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,888.44 / $13,803.84 / $30,199.52	Facility		$5,888.44	$13,803.84	$30,199.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,348.96 / $3,090.30	Professional		$870.96	$1,348.96	$3,090.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $3,162.28 / $5,370.32	Facility		$2,691.53	$3,162.28	$5,370.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $2,344.23 / $4,786.30	Professional		$977.24	$2,344.23	$4,786.30
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $1,230.27 / $6,165.95	Facility		$645.65	$1,230.27	$6,165.95
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,778.28 / $2,754.23	Professional		$1,122.02	$1,778.28	$2,754.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $1,348.96 / $10,964.78	Facility		$660.69	$1,348.96	$10,964.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,995.26 / $7,585.78	Professional		$954.99	$1,995.26	$7,585.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $891.25	Professional		$32.36	$33.11	$891.25
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,949.84 / $3,388.44	Professional		$1,096.48	$1,949.84	$3,388.44
Quartz Facility/Professional Facility Modifier Low / Median / High Price $9,120.11 / $17,378.01 / $25,118.86	Facility		$9,120.11	$17,378.01	$25,118.86
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $1,737.80 / $1,737.80 / $2,511.89	Facility	AS	$1,737.80	$1,737.80	$2,511.89
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $5,011.87 / $7,244.36	Professional		$1,071.52	$5,011.87	$7,244.36
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $3,801.89 / $6,456.54	Professional		$1,905.46	$3,801.89	$6,456.54
United Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $10,232.93 / $14,454.40	Facility		$6,606.93	$10,232.93	$14,454.40
United Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,230.27 / $3,467.37	Professional		$724.44	$1,230.27	$3,467.37