Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,905.46 / $14,454.40	Facility		$758.58	$1,905.46	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $870.96 / $2,187.76	Professional		$758.58	$870.96	$2,187.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $7,943.28 / $12,589.25	Facility		$5,011.87	$7,943.28	$12,589.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,737.80 / $3,981.07	Professional		$870.96	$1,737.80	$3,981.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $2,754.23 / $4,466.84	Facility		$2,398.83	$2,754.23	$4,466.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $2,041.74 / $2,691.53	Professional		$912.01	$2,041.74	$2,691.53
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $2,630.27 / $4,265.80	Facility		$831.76	$2,630.27	$4,265.80
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,290.87 / $2,818.38	Professional		$1,659.59	$2,290.87	$2,818.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $2,691.53 / $8,317.64	Facility		$891.25	$2,691.53	$8,317.64
Medica Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,412.54 / $4,265.80	Professional		$870.96	$1,412.54	$4,265.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,174.90	Professional		$32.36	$33.11	$1,174.90
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,995.26 / $2,951.21	Professional		$1,445.44	$1,995.26	$2,951.21
Quartz Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $10,232.93 / $10,232.93	Facility		$4,570.88	$10,232.93	$10,232.93
Quartz Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,698.24 / $6,760.83	Professional		$912.01	$1,698.24	$6,760.83
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $1,659.59	Professional		$1,659.59	$1,659.59	$1,659.59
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $3,890.45 / $4,365.16	Professional		$1,659.59	$3,890.45	$4,365.16
United Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $7,413.10 / $9,120.11	Facility		$4,897.79	$7,413.10	$9,120.11
United Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,318.26 / $3,467.37	Professional		$851.14	$1,318.26	$3,467.37