Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $1,047.13 / $13,489.63	Facility		$501.19	$1,047.13	$13,489.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $660.69 / $1,621.81	Professional		$467.74	$660.69	$1,621.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,165.95 / $10,232.93 / $17,378.01	Facility		$6,165.95	$10,232.93	$17,378.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $1,047.13 / $2,818.38	Professional		$630.96	$1,047.13	$2,818.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $2,089.30 / $3,467.37	Facility		$1,778.28	$2,089.30	$3,467.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,819.70 / $3,090.30	Professional		$724.44	$1,819.70	$3,090.30
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $912.01 / $6,165.95	Facility		$512.86	$912.01	$6,165.95
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,318.26 / $1,862.09	Professional		$933.25	$1,318.26	$1,862.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $1,023.29 / $7,762.47	Facility		$537.03	$1,023.29	$7,762.47
Medica Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $1,288.25 / $4,897.79	Professional		$660.69	$1,288.25	$4,897.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $724.44	Professional		$32.36	$33.11	$724.44
Quartz Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,584.89 / $2,344.23	Professional		$933.25	$1,584.89	$2,344.23
Quartz Facility/Professional Facility Modifier Low / Median / High Price $6,025.60 / $11,220.18 / $16,595.87	Facility		$6,025.60	$11,220.18	$16,595.87
Quartz Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $3,235.94 / $4,786.30	Professional		$891.25	$3,235.94	$4,786.30
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $2,187.76	Professional		$1,659.59	$1,659.59	$2,187.76
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $3,235.94 / $4,265.80	Professional		$1,621.81	$3,235.94	$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 $549.54 / $912.01 / $2,454.71	Professional		$549.54	$912.01	$2,454.71