Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $1,348.96 / $14,454.40	Facility		$537.03	$1,348.96	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $616.60 / $1,348.96	Professional		$512.86	$616.60	$1,348.96
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 $616.60 / $1,230.27 / $2,884.03	Professional		$616.60	$1,230.27	$2,884.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $1,995.26 / $3,162.28	Facility		$1,698.24	$1,995.26	$3,162.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $1,412.54 / $1,905.46	Professional		$645.65	$1,412.54	$1,905.46
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $1,862.09 / $4,265.80	Facility		$588.84	$1,862.09	$4,265.80
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,621.81 / $1,995.26	Professional		$1,148.15	$1,621.81	$1,995.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $1,905.46 / $6,309.57	Facility		$630.96	$1,905.46	$6,309.57
Medica Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $933.25 / $3,019.95	Professional		$562.34	$933.25	$3,019.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $758.58	Professional		$32.36	$33.11	$758.58
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,412.54 / $2,089.30	Professional		$1,023.29	$1,412.54	$2,089.30
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 $630.96 / $1,174.90 / $4,677.35	Professional		$630.96	$1,174.90	$4,677.35
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,174.90 / $1,174.90	Professional		$1,174.90	$1,174.90	$1,174.90
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $2,754.23 / $3,019.95	Professional		$1,047.13	$2,754.23	$3,019.95
United Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $3,801.89 / $6,606.93	Facility		$2,884.03	$3,801.89	$6,606.93
United Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $891.25 / $2,454.71	Professional		$549.54	$891.25	$2,454.71