Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $1,096.48 / $14,454.40	Facility		$512.86	$1,096.48	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $537.03 / $1,230.27	Professional		$478.63	$537.03	$1,230.27
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 $501.19 / $1,071.52 / $2,691.53	Professional		$501.19	$1,071.52	$2,691.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,621.81 / $2,691.53	Facility		$1,380.38	$1,621.81	$2,691.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $2,137.96 / $2,454.71	Professional		$724.44	$2,137.96	$2,454.71
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $1,096.48 / $6,456.54	Facility		$524.81	$1,096.48	$6,456.54
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,258.93 / $1,621.81	Professional		$933.25	$1,258.93	$1,621.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $1,148.15 / $8,317.64	Facility		$537.03	$1,148.15	$8,317.64
Medica Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $977.24 / $4,897.79	Professional		$524.81	$977.24	$4,897.79
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 $741.31 / $1,122.02 / $1,698.24	Professional		$741.31	$1,122.02	$1,698.24
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 $933.25 / $2,454.71 / $4,897.79	Professional		$933.25	$2,454.71	$4,897.79
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $1,698.24 / $1,698.24	Professional		$1,698.24	$1,698.24	$1,698.24
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,884.03 / $3,388.44	Professional		$1,778.28	$2,884.03	$3,388.44
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 $512.86 / $794.33 / $2,089.30	Professional		$512.86	$794.33	$2,089.30