Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,819.70 / $14,454.40	Facility		$812.83	$1,819.70	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $954.99 / $2,454.71	Professional		$812.83	$954.99	$2,454.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $10,964.78 / $19,952.62	Facility		$6,606.93	$10,964.78	$19,952.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,698.24 / $4,265.80	Professional		$870.96	$1,698.24	$4,265.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $2,630.27 / $4,265.80	Facility		$2,290.87	$2,630.27	$4,265.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $3,467.37 / $3,981.07	Professional		$1,230.27	$3,467.37	$3,981.07
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,778.28 / $10,000.00	Facility		$812.83	$1,778.28	$10,000.00
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $2,089.30 / $2,691.53	Professional		$1,584.89	$2,089.30	$2,691.53
Medica Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,819.70 / $7,585.78	Facility		$870.96	$1,819.70	$7,585.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,584.89 / $9,772.37	Professional		$912.01	$1,584.89	$9,772.37
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 $1,380.38 / $2,089.30 / $3,162.28	Professional		$1,380.38	$2,089.30	$3,162.28
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $8,317.64 / $8,317.64	Facility		$2,290.87	$8,317.64	$8,317.64
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $4,365.16 / $9,772.37	Professional		$1,659.59	$4,365.16	$9,772.37
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,090.30 / $3,090.30 / $3,090.30	Professional		$3,090.30	$3,090.30	$3,090.30
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $5,128.61 / $5,754.40	Professional		$2,754.23	$5,128.61	$5,754.40
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 $891.25 / $1,348.96 / $3,715.35	Professional		$891.25	$1,348.96	$3,715.35