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 / $1,023.29 / $2,570.40	Professional		$851.14	$1,023.29	$2,570.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $8,128.31 / $13,489.63	Facility		$5,011.87	$8,128.31	$13,489.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,778.28 / $4,365.16	Professional		$912.01	$1,778.28	$4,365.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $2,818.38 / $4,570.88	Facility		$2,398.83	$2,818.38	$4,570.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $3,715.35 / $4,168.69	Professional		$1,288.25	$3,715.35	$4,168.69
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,905.46 / $10,000.00	Facility		$851.14	$1,905.46	$10,000.00
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,238.72 / $2,884.03	Professional		$1,659.59	$2,238.72	$2,884.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,905.46 / $7,585.78	Facility		$912.01	$1,905.46	$7,585.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,621.81 / $7,413.10	Professional		$933.25	$1,621.81	$7,413.10
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 $1,584.89 / $2,398.83 / $3,715.35	Professional		$1,584.89	$2,398.83	$3,715.35
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $10,232.93 / $10,232.93	Facility		$2,398.83	$10,232.93	$10,232.93
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $4,570.88 / $7,413.10	Professional		$1,778.28	$4,570.88	$7,413.10
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 $3,235.94 / $5,370.32 / $5,888.44	Professional		$3,235.94	$5,370.32	$5,888.44
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 $933.25 / $1,380.38 / $3,801.89	Professional		$933.25	$1,380.38	$3,801.89