Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $1,548.82 / $3,162.28	Facility		$630.96	$1,548.82	$3,162.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $812.83 / $1,778.28	Professional		$630.96	$812.83	$1,778.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $7,762.47 / $12,589.25	Facility		$3,981.07	$7,762.47	$12,589.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,698.24 / $3,715.35	Professional		$851.14	$1,698.24	$3,715.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $2,691.53 / $4,265.80	Facility		$2,290.87	$2,691.53	$4,265.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,548.82 / $2,398.83	Professional		$831.76	$1,548.82	$2,398.83
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $1,778.28 / $3,981.07	Facility		$691.83	$1,778.28	$3,981.07
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,995.26 / $2,570.40	Professional		$1,380.38	$1,995.26	$2,570.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $2,041.74 / $10,964.78	Facility		$741.31	$2,041.74	$10,964.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,445.44 / $5,623.41	Professional		$812.83	$1,445.44	$5,623.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $2,238.72	Professional		$32.36	$33.11	$2,238.72
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $2,041.74 / $2,951.21	Professional		$1,318.26	$2,041.74	$2,951.21
Quartz Facility/Professional Facility Modifier Low / Median / High Price $7,585.78 / $7,585.78 / $11,220.18	Facility		$7,585.78	$7,585.78	$11,220.18
Quartz Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,174.90 / $6,309.57	Professional		$758.58	$1,174.90	$6,309.57
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,380.38 / $1,621.81	Professional		$1,380.38	$1,380.38	$1,621.81
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $3,235.94 / $3,890.45	Professional		$1,445.44	$3,235.94	$3,890.45
United Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $10,232.93 / $12,589.25	Facility		$6,606.93	$10,232.93	$12,589.25
United Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,174.90 / $3,090.30	Professional		$741.31	$1,174.90	$3,090.30