Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $758.58 / $17,782.79	Facility		$758.58	$758.58	$17,782.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,230.27 / $1,412.54	Professional		$776.25	$1,230.27	$1,412.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,715.19 / $15,135.61 / $26,302.68	Facility		$10,715.19	$15,135.61	$26,302.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $2,344.23 / $6,165.95	Professional		$1,230.27	$2,344.23	$6,165.95
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 $758.58 / $1,202.26 / $1,380.38	Facility		$758.58	$1,202.26	$1,380.38
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 $776.25 / $1,905.46 / $12,589.25	Facility		$776.25	$1,905.46	$12,589.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,412.54 / $9,772.37	Professional		$707.95	$1,412.54	$9,772.37
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 $1,380.38 / $2,570.40 / $3,467.37	Professional		$1,380.38	$2,570.40	$3,467.37
Quartz Facility/Professional Facility Modifier Low / Median / High Price $11,220.18 / $11,220.18 / $16,982.44	Facility		$11,220.18	$11,220.18	$16,982.44
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5,011.87 / $8,912.51 / $8,912.51	Professional		$5,011.87	$8,912.51	$8,912.51
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 $6,606.93 / $10,232.93 / $14,454.40	Facility		$6,606.93	$10,232.93	$14,454.40
United Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $1,348.96 / $2,630.27	Professional		$676.08	$1,348.96	$2,630.27