Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,621.81 / $14,454.40	Facility		$776.25	$1,621.81	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $812.83 / $1,995.26	Professional		$724.44	$812.83	$1,995.26
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 $758.58 / $1,621.81 / $3,890.45	Professional		$758.58	$1,621.81	$3,890.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $2,398.83 / $3,801.89	Facility		$2,041.74	$2,398.83	$3,801.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $3,235.94 / $3,630.78	Professional		$1,122.02	$3,235.94	$3,630.78
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,621.81 / $7,244.36	Facility		$794.33	$1,621.81	$7,244.36
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,905.46 / $2,454.71	Professional		$1,412.54	$1,905.46	$2,454.71
Medica Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,698.24 / $13,182.57	Facility		$794.33	$1,698.24	$13,182.57
Medica Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,380.38 / $6,606.93	Professional		$794.33	$1,380.38	$6,606.93
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 $1,148.15 / $1,737.80 / $2,630.27	Professional		$1,148.15	$1,737.80	$2,630.27
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $7,244.36 / $7,244.36	Facility		$2,041.74	$7,244.36	$7,244.36
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $3,715.35 / $6,760.83	Professional		$1,412.54	$3,715.35	$6,760.83
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $2,570.40 / $2,570.40	Professional		$2,570.40	$2,570.40	$2,570.40
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $4,466.84 / $5,011.87	Professional		$2,570.40	$4,466.84	$5,011.87
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 $776.25 / $1,202.26 / $3,162.28	Professional		$776.25	$1,202.26	$3,162.28