Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $1,479.11 / $3,090.30	Facility		$602.56	$1,479.11	$3,090.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $724.44 / $1,737.80	Professional		$588.84	$724.44	$1,737.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $7,762.47 / $12,589.25	Facility		$3,162.28	$7,762.47	$12,589.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,548.82 / $3,388.44	Professional		$776.25	$1,548.82	$3,388.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $2,398.83 / $3,801.89	Facility		$2,041.74	$2,398.83	$3,801.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,445.44 / $2,344.23	Professional		$741.31	$1,445.44	$2,344.23
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $1,584.89 / $3,981.07	Facility		$660.69	$1,584.89	$3,981.07
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,905.46 / $2,398.83	Professional		$1,318.26	$1,905.46	$2,398.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $1,949.84 / $10,964.78	Facility		$676.08	$1,949.84	$10,964.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,258.93 / $5,370.32	Professional		$724.44	$1,258.93	$5,370.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,862.09	Professional		$32.36	$33.11	$1,862.09
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,949.84 / $2,818.38	Professional		$1,288.25	$1,949.84	$2,818.38
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 $724.44 / $1,047.13 / $5,754.40	Professional		$724.44	$1,047.13	$5,754.40
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $1,479.11	Professional		$1,318.26	$1,318.26	$1,479.11
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $3,090.30 / $3,630.78	Professional		$1,288.25	$3,090.30	$3,630.78
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 $660.69 / $1,096.48 / $2,884.03	Professional		$660.69	$1,096.48	$2,884.03