Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $7,762.47 / $8,317.64	Facility		$891.25	$7,762.47	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $891.25 / $2,570.40	Professional		$616.60	$891.25	$2,570.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,120.11 / $12,882.50 / $22,387.21	Facility		$9,120.11	$12,882.50	$22,387.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,445.44 / $2,951.21	Professional		$724.44	$1,445.44	$2,951.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $2,290.87 / $3,630.78	Facility		$1,949.84	$2,290.87	$3,630.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $2,290.87 / $2,570.40	Professional		$1,071.52	$2,290.87	$2,570.40
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $7,079.46 / $13,489.63	Facility		$891.25	$7,079.46	$13,489.63
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,862.09 / $2,290.87	Professional		$1,318.26	$1,862.09	$2,290.87
Medica Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $9,549.93 / $16,595.87	Facility		$870.96	$9,549.93	$16,595.87
Medica Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,288.25 / $5,754.40	Professional		$776.25	$1,288.25	$5,754.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,000.00	Professional		$32.36	$33.11	$1,000.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,819.70 / $2,454.71	Professional		$933.25	$1,819.70	$2,454.71
Quartz Facility/Professional Facility Modifier Low / Median / High Price $10,964.78 / $16,218.10 / $16,218.10	Facility		$10,964.78	$16,218.10	$16,218.10
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $3,630.78 / $5,495.41	Professional		$1,047.13	$3,630.78	$5,495.41
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,412.54 / $1,412.54	Professional		$1,412.54	$1,412.54	$1,412.54
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $2,344.23 / $2,344.23	Professional		$1,479.11	$2,344.23	$2,344.23
United Facility/Professional Facility Modifier Low / Median / High Price $8,912.51 / $13,803.84 / $17,378.01	Facility		$8,912.51	$13,803.84	$17,378.01
United Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,202.26 / $3,090.30	Professional		$724.44	$1,202.26	$3,090.30