Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $6,456.54 / $16,218.10	Facility		$724.44	$6,456.54	$16,218.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $741.31 / $1,698.24	Professional		$616.60	$741.31	$1,698.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13,803.84 / $18,620.87 / $29,512.09	Facility		$13,803.84	$18,620.87	$29,512.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $1,288.25 / $3,019.95	Professional		$645.65	$1,288.25	$3,019.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $2,041.74 / $3,235.94	Facility		$1,737.80	$2,041.74	$3,235.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $2,137.96 / $2,398.83	Professional		$933.25	$2,137.96	$2,398.83
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $3,981.07 / $7,413.10	Facility		$741.31	$3,981.07	$7,413.10
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,659.59 / $2,089.30	Professional		$1,202.26	$1,659.59	$2,089.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $13,182.57 / $23,442.29	Facility		$741.31	$13,182.57	$23,442.29
Medica Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $1,148.15 / $12,022.64	Professional		$660.69	$1,148.15	$12,022.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $575.44	Professional		$32.36	$33.11	$575.44
Quartz Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,548.82 / $2,187.76	Professional		$794.33	$1,548.82	$2,187.76
Quartz Facility/Professional Facility Modifier Low / Median / High Price $66,069.34 / $97,723.72 / $97,723.72	Facility		$66,069.34	$97,723.72	$97,723.72
Quartz Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $3,235.94 / $12,022.64	Professional		$912.01	$3,235.94	$12,022.64
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $1,819.70	Professional		$1,819.70	$1,819.70	$1,819.70
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $3,235.94 / $3,235.94	Professional		$1,819.70	$3,235.94	$3,235.94
United Facility/Professional Facility Modifier Low / Median / High Price $10,000.00 / $19,498.45 / $25,118.86	Facility		$10,000.00	$19,498.45	$25,118.86
United Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $1,096.48 / $2,818.38	Professional		$630.96	$1,096.48	$2,818.38