Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $2,089.30 / $14,454.40	Facility		$933.25	$2,089.30	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,096.48 / $2,454.71	Professional		$933.25	$1,096.48	$2,454.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $10,964.78 / $20,892.96	Facility		$6,606.93	$10,964.78	$20,892.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,949.84 / $4,786.30	Professional		$1,000.00	$1,949.84	$4,786.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $3,090.30 / $4,897.79	Facility		$2,630.27	$3,090.30	$4,897.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $4,073.80 / $4,570.88	Professional		$1,479.11	$4,073.80	$4,570.88
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,819.70 / $10,000.00	Facility		$933.25	$1,819.70	$10,000.00
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,344.23 / $3,019.95	Professional		$1,819.70	$2,344.23	$3,019.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,819.70 / $7,585.78	Facility		$1,000.00	$1,819.70	$7,585.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,698.24 / $9,332.54	Professional		$933.25	$1,698.24	$9,332.54
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 $1,737.80 / $2,630.27 / $3,981.07	Professional		$1,737.80	$2,630.27	$3,981.07
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $19,952.62 / $19,952.62	Facility		$2,630.27	$19,952.62	$19,952.62
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $4,897.79 / $9,332.54	Professional		$1,949.84	$4,897.79	$9,332.54
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,548.13 / $3,548.13 / $3,548.13	Professional		$3,548.13	$3,548.13	$3,548.13
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $5,888.44 / $6,606.93	Professional		$2,818.38	$5,888.44	$6,606.93
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 / $1,479.11 / $4,168.69	Professional		$933.25	$1,479.11	$4,168.69