Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,905.46 / $14,454.40	Facility		$851.14	$1,905.46	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,000.00 / $1,905.46	Professional		$851.14	$1,000.00	$1,905.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $4,786.30 / $7,413.10	Facility		$3,162.28	$4,786.30	$7,413.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,778.28 / $4,786.30	Professional		$891.25	$1,778.28	$4,786.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $2,818.38 / $4,466.84	Facility		$2,398.83	$2,818.38	$4,466.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $3,715.35 / $4,168.69	Professional		$1,513.56	$3,715.35	$4,168.69
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $6,918.31 / $13,489.63	Facility		$933.25	$6,918.31	$13,489.63
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,290.87 / $2,884.03	Professional		$1,659.59	$2,290.87	$2,884.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $2,691.53 / $7,943.28	Facility		$933.25	$2,691.53	$7,943.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,584.89 / $7,079.46	Professional		$933.25	$1,584.89	$7,079.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,096.48	Professional		$32.36	$33.11	$1,096.48
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $2,511.89 / $3,981.07	Professional		$1,288.25	$2,511.89	$3,981.07
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $11,220.18 / $11,220.18	Facility		$2,398.83	$11,220.18	$11,220.18
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $4,466.84 / $6,918.31	Professional		$1,698.24	$4,466.84	$6,918.31
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,235.94 / $3,235.94 / $3,235.94	Professional		$3,235.94	$3,235.94	$3,235.94
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $5,370.32 / $6,456.54	Professional		$2,630.27	$5,370.32	$6,456.54
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 $851.14 / $1,445.44 / $3,981.07	Professional		$851.14	$1,445.44	$3,981.07