Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,995.26 / $14,454.40	Facility		$776.25	$1,995.26	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $912.01 / $1,995.26	Professional		$758.58	$912.01	$1,995.26
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 $891.25 / $1,778.28 / $4,168.69	Professional		$891.25	$1,778.28	$4,168.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $2,951.21 / $4,786.30	Facility		$2,511.89	$2,951.21	$4,786.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $2,187.76 / $2,884.03	Professional		$977.24	$2,187.76	$2,884.03
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $2,818.38 / $5,754.40	Facility		$870.96	$2,818.38	$5,754.40
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,398.83 / $3,019.95	Professional		$1,737.80	$2,398.83	$3,019.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $2,818.38 / $11,481.54	Facility		$912.01	$2,818.38	$11,481.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,479.11 / $4,365.16	Professional		$891.25	$1,479.11	$4,365.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,202.26	Professional		$32.36	$33.11	$1,202.26
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,089.30 / $3,090.30	Professional		$1,513.56	$2,089.30	$3,090.30
Quartz Facility/Professional Facility Modifier Low / Median / High Price $7,585.78 / $11,220.18 / $11,220.18	Facility		$7,585.78	$11,220.18	$11,220.18
Quartz Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,778.28 / $7,079.46	Professional		$954.99	$1,778.28	$7,079.46
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $1,737.80 / $1,737.80	Professional		$1,737.80	$1,737.80	$1,737.80
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $4,168.69 / $4,466.84	Professional		$1,659.59	$4,168.69	$4,466.84
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 $870.96 / $1,348.96 / $3,548.13	Professional		$870.96	$1,348.96	$3,548.13