Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $1,318.26 / $14,454.40	Facility		$537.03	$1,318.26	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $602.56 / $1,318.26	Professional		$489.78	$602.56	$1,318.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $4,786.30 / $7,585.78	Facility		$3,311.31	$4,786.30	$7,585.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $1,230.27 / $2,818.38	Professional		$575.44	$1,230.27	$2,818.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $1,949.84 / $3,090.30	Facility		$1,659.59	$1,949.84	$3,090.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $1,412.54 / $1,862.09	Professional		$616.60	$1,412.54	$1,862.09
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $1,819.70 / $5,754.40	Facility		$575.44	$1,819.70	$5,754.40
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,584.89 / $1,949.84	Professional		$1,148.15	$1,584.89	$1,949.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $1,862.09 / $8,317.64	Facility		$616.60	$1,862.09	$8,317.64
Medica Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $912.01 / $2,630.27	Professional		$575.44	$912.01	$2,630.27
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 $1,000.00 / $1,412.54 / $2,041.74	Professional		$1,000.00	$1,412.54	$2,041.74
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $3,981.07 / $3,981.07	Facility		$2,754.23	$3,981.07	$3,981.07
Quartz Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $1,174.90 / $4,570.88	Professional		$616.60	$1,174.90	$4,570.88
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 / $2,691.53 / $2,884.03	Professional		$1,047.13	$2,691.53	$2,884.03
United Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $7,413.10 / $9,120.11	Facility		$4,786.30	$7,413.10	$9,120.11
United Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $870.96 / $2,238.72	Professional		$549.54	$870.96	$2,238.72