Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,862.09 / $14,454.40	Facility		$851.14	$1,862.09	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $912.01 / $2,238.72	Professional		$812.83	$912.01	$2,238.72
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 $891.25 / $1,778.28 / $4,168.69	Professional		$891.25	$1,778.28	$4,168.69
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 $1,288.25 / $2,691.53 / $3,090.30	Professional		$1,288.25	$2,691.53	$3,090.30
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $6,918.31 / $13,182.57	Facility		$1,000.00	$6,918.31	$13,182.57
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,238.72 / $2,818.38	Professional		$1,621.81	$2,238.72	$2,818.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $7,585.78 / $15,848.93	Facility		$1,000.00	$7,585.78	$15,848.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,584.89 / $10,232.93	Professional		$933.25	$1,584.89	$10,232.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $758.58	Professional		$32.36	$33.11	$758.58
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $2,041.74 / $3,090.30	Professional		$1,071.52	$2,041.74	$3,090.30
Quartz Facility/Professional Facility Modifier Low / Median / High Price $11,220.18 / $16,595.87 / $16,595.87	Facility		$11,220.18	$16,595.87	$16,595.87
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $4,466.84 / $10,232.93	Professional		$1,258.93	$4,466.84	$10,232.93
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $2,570.40 / $2,570.40	Professional		$2,570.40	$2,570.40	$2,570.40
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $4,365.16 / $5,248.07	Professional		$2,818.38	$4,365.16	$5,248.07
United Facility/Professional Facility Modifier Low / Median / High Price $7,585.78 / $12,302.69 / $16,218.10	Facility		$7,585.78	$12,302.69	$16,218.10
United Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,412.54 / $3,981.07	Professional		$870.96	$1,412.54	$3,981.07