Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,905.46 / $14,454.40	Facility		$933.25	$1,905.46	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $954.99 / $2,290.87	Professional		$870.96	$954.99	$2,290.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,165.95 / $10,232.93 / $18,197.01	Facility		$6,165.95	$10,232.93	$18,197.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,778.28 / $4,466.84	Professional		$912.01	$1,778.28	$4,466.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $2,754.23 / $4,466.84	Facility		$2,398.83	$2,754.23	$4,466.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $2,951.21 / $3,311.31	Professional		$1,318.26	$2,951.21	$3,311.31
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $3,981.07 / $7,413.10	Facility		$1,000.00	$3,981.07	$7,413.10
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,290.87 / $2,818.38	Professional		$1,659.59	$2,290.87	$2,818.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $5,128.61 / $8,317.64	Facility		$1,000.00	$5,128.61	$8,317.64
Medica Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,621.81 / $7,079.46	Professional		$933.25	$1,621.81	$7,079.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $776.25	Professional		$32.36	$33.11	$776.25
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $2,089.30 / $3,630.78	Professional		$1,071.52	$2,089.30	$3,630.78
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $8,511.38 / $8,511.38	Facility		$2,398.83	$8,511.38	$8,511.38
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $4,466.84 / $7,079.46	Professional		$1,258.93	$4,466.84	$7,079.46
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,677.35 / $4,677.35 / $4,677.35	Professional		$4,677.35	$4,677.35	$4,677.35
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,265.80 / $5,495.41 / $6,760.83	Professional		$4,265.80	$5,495.41	$6,760.83
United Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $7,413.10 / $9,120.11	Facility		$4,073.80	$7,413.10	$9,120.11
United Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,513.56 / $3,981.07	Professional		$891.25	$1,513.56	$3,981.07