Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $5,370.32 / $13,489.63	Facility		$812.83	$5,370.32	$13,489.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $851.14 / $2,238.72	Professional		$758.58	$851.14	$2,238.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $10,964.78 / $18,197.01	Facility		$6,606.93	$10,964.78	$18,197.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,698.24 / $4,570.88	Professional		$831.76	$1,698.24	$4,570.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $2,570.40 / $4,073.80	Facility		$2,187.76	$2,570.40	$4,073.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $3,388.44 / $3,890.45	Professional		$1,122.02	$3,388.44	$3,890.45
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $1,737.80 / $10,232.93	Facility		$831.76	$1,737.80	$10,232.93
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,995.26 / $2,570.40	Professional		$1,479.11	$1,995.26	$2,570.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $1,778.28 / $15,135.61	Facility		$831.76	$1,778.28	$15,135.61
Medica Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,513.56 / $14,791.08	Professional		$851.14	$1,513.56	$14,791.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $70.79	Professional		$32.36	$33.11	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,819.70 / $2,754.23	Professional		$1,202.26	$1,819.70	$2,754.23
Quartz Facility/Professional Facility Modifier Low / Median / High Price $14,125.38 / $20,892.96 / $20,892.96	Facility		$14,125.38	$20,892.96	$20,892.96
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $4,073.80 / $14,791.08	Professional		$1,479.11	$4,073.80	$14,791.08
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $2,691.53 / $2,691.53	Professional		$2,691.53	$2,691.53	$2,691.53
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $4,677.35 / $5,248.07	Professional		$1,778.28	$4,677.35	$5,248.07
United Facility/Professional Facility Modifier Low / Median / High Price $7,585.78 / $12,302.69 / $16,218.10	Facility		$7,585.78	$12,302.69	$16,218.10
United Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,258.93 / $3,467.37	Professional		$812.83	$1,258.93	$3,467.37