Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,621.81 / $3,467.37	Facility		$794.33	$1,621.81	$3,467.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $933.25 / $1,995.26	Professional		$707.95	$933.25	$1,995.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $4,570.88 / $7,079.46	Facility		$2,630.27	$4,570.88	$7,079.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,548.82 / $3,715.35	Professional		$812.83	$1,548.82	$3,715.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $3,019.95 / $4,897.79	Facility		$2,630.27	$3,019.95	$4,897.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $2,630.27 / $4,570.88	Professional		$912.01	$2,630.27	$4,570.88
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $1,148.15 / $3,548.13	Facility		$467.74	$1,148.15	$3,548.13
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,949.84 / $2,511.89	Professional		$1,445.44	$1,949.84	$2,511.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $1,258.93 / $4,786.30	Facility		$501.19	$1,258.93	$4,786.30
Medica Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $1,584.89 / $7,079.46	Professional		$645.65	$1,584.89	$7,079.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $758.58	Professional		$32.36	$33.11	$758.58
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $2,290.87 / $3,311.31	Professional		$1,380.38	$2,290.87	$3,311.31
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $2,511.89 / $5,248.07	Facility		$1,348.96	$2,511.89	$5,248.07
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $4,265.80 / $6,760.83	Professional		$1,380.38	$4,265.80	$6,760.83
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $2,691.53 / $3,311.31	Professional		$2,691.53	$2,691.53	$3,311.31
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $5,011.87 / $6,165.95	Professional		$1,380.38	$5,011.87	$6,165.95
United Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $3,801.89 / $6,456.54	Facility		$2,884.03	$3,801.89	$6,456.54
United Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $1,148.15 / $3,235.94	Professional		$616.60	$1,148.15	$3,235.94