Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $398.11 / $17,782.79	Facility		$398.11	$398.11	$17,782.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $407.38 / $512.86	Professional		$363.08	$407.38	$512.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $10,964.78 / $17,378.01	Facility		$6,606.93	$10,964.78	$17,378.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $691.83 / $1,995.26	Professional		$363.08	$691.83	$1,995.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,174.90 / $1,862.09	Facility		$1,000.00	$1,174.90	$1,862.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $776.25 / $954.99	Professional		$630.96	$776.25	$954.99
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $3,162.28 / $5,888.44	Facility		$398.11	$3,162.28	$5,888.44
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,023.29 / $1,023.29	Professional		$1,023.29	$1,023.29	$1,023.29
Medica Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $5,754.40 / $9,549.93	Facility		$416.87	$5,754.40	$9,549.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $691.83 / $1,995.26	Professional		$398.11	$691.83	$1,995.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $58.88 / $70.79	Professional		$50.12	$58.88	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $1,023.29 / $1,513.56	Professional		$562.34	$1,023.29	$1,513.56
Quartz Facility/Professional Facility Modifier Low / Median / High Price $27,542.29 / $27,542.29 / $40,738.03	Facility		$27,542.29	$27,542.29	$40,738.03
Quartz Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $1,862.09 / $3,311.31	Professional		$588.84	$1,862.09	$3,311.31
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,513.56 / $2,344.23	Professional		$1,513.56	$1,513.56	$2,344.23
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,754.23 / $2,754.23	Professional		$1,778.28	$2,754.23	$2,754.23
United Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $7,413.10 / $9,120.11	Facility		$4,897.79	$7,413.10	$9,120.11
United Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $616.60 / $1,584.89	Professional		$380.19	$616.60	$1,584.89