Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,905.46 / $14,454.40	Facility		$776.25	$1,905.46	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $891.25 / $1,905.46	Professional		$724.44	$891.25	$1,905.46
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 $851.14 / $1,778.28 / $4,168.69	Professional		$851.14	$1,778.28	$4,168.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $2,818.38 / $4,466.84	Facility		$2,398.83	$2,818.38	$4,466.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $2,041.74 / $2,754.23	Professional		$912.01	$2,041.74	$2,754.23
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $2,691.53 / $5,754.40	Facility		$851.14	$2,691.53	$5,754.40
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,290.87 / $2,884.03	Professional		$1,659.59	$2,290.87	$2,884.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $2,754.23 / $11,481.54	Facility		$912.01	$2,754.23	$11,481.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,412.54 / $4,265.80	Professional		$851.14	$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 / $2,041.74 / $2,951.21	Professional		$1,445.44	$2,041.74	$2,951.21
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 $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 $1,698.24 / $1,698.24 / $1,698.24	Professional		$1,698.24	$1,698.24	$1,698.24
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $3,981.07 / $4,365.16	Professional		$1,584.89	$3,981.07	$4,365.16
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 $831.76 / $1,318.26 / $3,388.44	Professional		$831.76	$1,318.26	$3,388.44