Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $2,630.27 / $13,489.63	Facility		$660.69	$2,630.27	$13,489.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $2,344.23 / $4,365.16	Professional		$630.96	$2,344.23	$4,365.16
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 $977.24 / $1,905.46 / $4,168.69	Professional		$977.24	$1,905.46	$4,168.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7,079.46 / $8,317.64 / $13,182.57	Facility		$7,079.46	$8,317.64	$13,182.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $3,090.30 / $12,302.69	Professional		$1,096.48	$3,090.30	$12,302.69
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $2,630.27 / $6,456.54	Facility		$660.69	$2,630.27	$6,456.54
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $2,630.27 / $7,079.46	Professional		$1,258.93	$2,630.27	$7,079.46
Medica Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $2,754.23 / $8,128.31	Facility		$660.69	$2,754.23	$8,128.31
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $6,025.60 / $19,054.61	Professional		$2,818.38	$6,025.60	$19,054.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,023.29	Professional		$32.36	$33.11	$1,023.29
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $3,019.95 / $8,511.38	Professional		$1,174.90	$3,019.95	$8,511.38
Quartz Facility/Professional Facility Modifier Low / Median / High Price $7,585.78 / $14,125.38 / $20,892.96	Facility		$7,585.78	$14,125.38	$20,892.96
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $13,803.84 / $18,197.01	Professional		$1,258.93	$13,803.84	$18,197.01
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,187.76 / $9,120.11	Professional		$2,187.76	$2,187.76	$9,120.11
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $4,265.80 / $16,595.87	Professional		$2,041.74	$4,265.80	$16,595.87
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 $812.83 / $2,818.38 / $9,772.37	Professional		$812.83	$2,818.38	$9,772.37