Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $2,691.53 / $14,454.40	Facility		$977.24	$2,691.53	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,258.93 / $3,162.28	Professional		$977.24	$1,258.93	$3,162.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $10,964.78 / $18,197.01	Facility		$6,606.93	$10,964.78	$18,197.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $2,041.74 / $6,456.54	Professional		$1,071.52	$2,041.74	$6,456.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $3,981.07 / $6,309.57	Facility		$3,388.44	$3,981.07	$6,309.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $2,818.38 / $5,888.44	Professional		$1,380.38	$2,818.38	$5,888.44
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $3,162.28 / $5,248.07	Facility		$977.24	$3,162.28	$5,248.07
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $3,235.94 / $3,890.45	Professional		$2,344.23	$3,235.94	$3,890.45
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $3,388.44 / $7,943.28	Facility		$1,096.48	$3,388.44	$7,943.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,949.84 / $5,370.32	Professional		$1,148.15	$1,949.84	$5,370.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $70.79	Professional		$32.36	$33.11	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $3,090.30 / $4,677.35	Professional		$2,187.76	$3,090.30	$4,677.35
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $3,388.44 / $19,498.45	Facility		$3,388.44	$3,388.44	$19,498.45
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $2,511.89 / $10,000.00	Professional		$1,318.26	$2,511.89	$10,000.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,715.35 / $3,715.35 / $3,715.35	Professional		$3,715.35	$3,715.35	$3,715.35
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,168.69 / $7,585.78 / $8,317.64	Professional		$4,168.69	$7,585.78	$8,317.64
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 $1,122.02 / $1,862.09 / $4,786.30	Professional		$1,122.02	$1,862.09	$4,786.30