Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $630.96 / $17,782.79	Facility		$630.96	$630.96	$17,782.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $1,047.13 / $1,380.38	Professional		$660.69	$1,047.13	$1,380.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,748.98 / $16,218.10 / $27,542.29	Facility		$11,748.98	$16,218.10	$27,542.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,995.26 / $5,128.61	Professional		$1,023.29	$1,995.26	$5,128.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $1,949.84 / $3,090.30	Facility		$1,659.59	$1,949.84	$3,090.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $2,454.71 / $2,818.38	Professional		$691.83	$2,454.71	$2,818.38
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $1,000.00 / $1,318.26	Facility		$630.96	$1,000.00	$1,318.26
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $1,230.27	Professional		$1,230.27	$1,230.27	$1,230.27
Medica Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,479.11 / $15,135.61	Facility		$741.31	$1,479.11	$15,135.61
Medica Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,288.25 / $8,128.31	Professional		$707.95	$1,288.25	$8,128.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $54.95 / $70.79	Professional		$32.36	$54.95	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $2,187.76 / $3,090.30	Professional		$1,230.27	$2,187.76	$3,090.30
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $2,454.71 / $13,182.57	Facility		$2,454.71	$2,454.71	$13,182.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,265.80 / $7,585.78 / $7,585.78	Professional		$4,265.80	$7,585.78	$7,585.78
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $1,995.26	Professional		$1,995.26	$1,995.26	$1,995.26
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $4,073.80 / $4,365.16	Professional		$2,454.71	$4,073.80	$4,365.16
United Facility/Professional Facility Modifier Low / Median / High Price $8,912.51 / $13,803.84 / $17,782.79	Facility		$8,912.51	$13,803.84	$17,782.79
United Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $1,230.27 / $2,570.40	Professional		$676.08	$1,230.27	$2,570.40