Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,258.93 / $14,454.40	Facility		$776.25	$1,258.93	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $776.25 / $1,584.89	Professional		$575.44	$776.25	$1,584.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,000.00 / $13,803.84 / $21,877.62	Facility		$10,000.00	$13,803.84	$21,877.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $1,174.90 / $3,388.44	Professional		$616.60	$1,174.90	$3,388.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $1,862.09 / $2,951.21	Facility		$1,584.89	$1,862.09	$2,951.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,949.84 / $2,187.76	Professional		$1,000.00	$1,949.84	$2,187.76
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $7,413.10 / $14,454.40	Facility		$724.44	$7,413.10	$14,454.40
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,621.81 / $1,905.46	Professional		$1,318.26	$1,621.81	$1,905.46
Medica Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $3,388.44 / $9,549.93	Facility		$707.95	$3,388.44	$9,549.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,258.93 / $3,467.37	Professional		$758.58	$1,258.93	$3,467.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $870.96	Professional		$32.36	$33.11	$870.96
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,621.81 / $2,344.23	Professional		$1,023.29	$1,621.81	$2,344.23
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $1,584.89 / $3,981.07	Facility		$1,584.89	$1,584.89	$3,981.07
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $3,019.95 / $5,623.41	Professional		$1,071.52	$3,019.95	$5,623.41
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 $2,884.03 / $4,265.80 / $4,265.80	Professional		$2,884.03	$4,265.80	$4,265.80
United Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $6,165.95 / $19,498.45	Facility		$2,290.87	$6,165.95	$19,498.45
United Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,258.93 / $2,754.23	Professional		$724.44	$1,258.93	$2,754.23