Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,819.70 / $14,454.40	Facility		$758.58	$1,819.70	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $851.14 / $1,819.70	Professional		$707.95	$851.14	$1,819.70
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 / $1,737.80 / $3,981.07	Professional		$851.14	$1,737.80	$3,981.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $2,754.23 / $4,365.16	Facility		$2,344.23	$2,754.23	$4,365.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,949.84 / $2,630.27	Professional		$891.25	$1,949.84	$2,630.27
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $2,570.40 / $6,918.31	Facility		$812.83	$2,570.40	$6,918.31
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $2,187.76 / $2,754.23	Professional		$1,584.89	$2,187.76	$2,754.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $2,630.27 / $8,317.64	Facility		$870.96	$2,630.27	$8,317.64
Medica Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,318.26 / $3,890.45	Professional		$812.83	$1,318.26	$3,890.45
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 $1,412.54 / $1,949.84 / $2,884.03	Professional		$1,412.54	$1,949.84	$2,884.03
Quartz Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $7,244.36 / $7,244.36	Facility		$4,570.88	$7,244.36	$7,244.36
Quartz Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,621.81 / $6,456.54	Professional		$891.25	$1,621.81	$6,456.54
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $1,659.59	Professional		$1,659.59	$1,659.59	$1,659.59
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $3,801.89 / $4,265.80	Professional		$1,584.89	$3,801.89	$4,265.80
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 / $1,288.25 / $3,388.44	Professional		$794.33	$1,288.25	$3,388.44