Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $2,041.74 / $14,454.40	Facility		$954.99	$2,041.74	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,000.00 / $2,691.53	Professional		$891.25	$1,000.00	$2,691.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,022.64 / $16,982.44 / $28,840.32	Facility		$12,022.64	$16,982.44	$28,840.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,995.26 / $5,128.61	Professional		$977.24	$1,995.26	$5,128.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $2,951.21 / $5,011.87	Facility		$2,570.40	$2,951.21	$5,011.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $3,981.07 / $4,570.88	Professional		$1,258.93	$3,981.07	$4,570.88
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,995.26 / $8,709.64	Facility		$977.24	$1,995.26	$8,709.64
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,344.23 / $3,019.95	Professional		$1,737.80	$2,344.23	$3,019.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $2,041.74 / $15,135.61	Facility		$1,000.00	$2,041.74	$15,135.61
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,819.70 / $7,244.36	Professional		$1,023.29	$1,819.70	$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 $1,445.44 / $2,187.76 / $3,311.31	Professional		$1,445.44	$2,187.76	$3,311.31
Quartz Facility/Professional Facility Modifier Low / Median / High Price $22,387.21 / $41,686.94 / $61,659.50	Facility		$22,387.21	$41,686.94	$61,659.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $4,677.35 / $7,244.36	Professional		$1,737.80	$4,677.35	$7,244.36
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $3,162.28 / $3,162.28	Professional		$3,162.28	$3,162.28	$3,162.28
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $5,370.32 / $6,165.95	Professional		$2,818.38	$5,370.32	$6,165.95
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 $1,000.00 / $1,513.56 / $3,981.07	Professional		$1,000.00	$1,513.56	$3,981.07