Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $57,543.99 / $57,543.99	Facility		$199.53	$57,543.99	$57,543.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,148.15 / $1,621.81	Professional		$831.76	$1,148.15	$1,621.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,659.59 / $6,456.54	Professional		$1,071.52	$1,659.59	$6,456.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $3,715.35 / $5,888.44	Facility		$3,162.28	$3,715.35	$5,888.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $5,128.61 / $5,888.44	Professional		$1,862.09	$5,128.61	$5,888.44
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $13,489.63 / $20,892.96	Facility		$1,258.93	$13,489.63	$20,892.96
DeanCare 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
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,584.89 / $2,290.87	Facility		$1,047.13	$1,584.89	$2,290.87
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $2,398.83 / $17,378.01	Professional		$1,258.93	$2,398.83	$17,378.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $54.95 / $912.01	Professional		$32.36	$54.95	$912.01
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,951.21 / $4,466.84	Professional		$1,995.26	$2,951.21	$4,466.84
Quartz Facility/Professional Facility Modifier Low / Median / High Price $7,585.78 / $7,585.78 / $14,454.40	Facility		$7,585.78	$7,585.78	$14,454.40
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5,754.40 / $17,378.01 / $17,378.01	Professional		$5,754.40	$17,378.01	$17,378.01
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 $5,128.61 / $7,079.46 / $8,912.51	Professional		$5,128.61	$7,079.46	$8,912.51
United Facility/Professional Facility Modifier Low / Median / High Price $19,498.45 / $19,498.45 / $25,703.96	Facility		$19,498.45	$19,498.45	$25,703.96
United Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $2,398.83 / $4,897.79	Professional		$1,258.93	$2,398.83	$4,897.79