Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,778.28 / $14,454.40	Facility		$724.44	$1,778.28	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $831.76 / $1,778.28	Professional		$691.83	$831.76	$1,778.28
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 $831.76 / $1,659.59 / $3,801.89	Professional		$831.76	$1,659.59	$3,801.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $2,630.27 / $4,265.80	Facility		$2,290.87	$2,630.27	$4,265.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,949.84 / $2,570.40	Professional		$870.96	$1,949.84	$2,570.40
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $2,511.89 / $4,265.80	Facility		$794.33	$2,511.89	$4,265.80
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,137.96 / $2,691.53	Professional		$1,548.82	$2,137.96	$2,691.53
Medica Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $2,570.40 / $8,317.64	Facility		$851.14	$2,570.40	$8,317.64
Medica Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,318.26 / $4,073.80	Professional		$831.76	$1,318.26	$4,073.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,148.15	Professional		$32.36	$33.11	$1,148.15
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,905.46 / $2,754.23	Professional		$1,348.96	$1,905.46	$2,754.23
Quartz Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $6,760.83 / $6,760.83	Facility		$4,570.88	$6,760.83	$6,760.83
Quartz Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,584.89 / $6,309.57	Professional		$851.14	$1,584.89	$6,309.57
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,584.89 / $1,584.89	Professional		$1,584.89	$1,584.89	$1,584.89
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $3,715.35 / $4,168.69	Professional		$1,548.82	$3,715.35	$4,168.69
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 $794.33 / $1,258.93 / $3,388.44	Professional		$794.33	$1,258.93	$3,388.44