Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $6,456.54 / $13,182.57	Facility		$912.01	$6,456.54	$13,182.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $851.14 / $2,089.30	Professional		$416.87	$851.14	$2,089.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $7,943.28 / $12,589.25	Facility		$5,011.87	$7,943.28	$12,589.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $891.25 / $2,398.83	Professional		$426.58	$891.25	$2,398.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,318.26 / $2,238.72	Facility		$1,148.15	$1,318.26	$2,238.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $1,778.28 / $2,041.74	Professional		$562.34	$1,778.28	$2,041.74
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $912.01 / $4,168.69	Facility		$436.52	$912.01	$4,168.69
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,047.13 / $1,348.96	Professional		$776.25	$1,047.13	$1,348.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $1,000.00 / $8,317.64	Facility		$446.68	$1,000.00	$8,317.64
Medica Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $758.58 / $3,311.31	Professional		$467.74	$758.58	$3,311.31
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 $676.08 / $1,023.29 / $1,548.82	Professional		$676.08	$1,023.29	$1,548.82
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $4,570.88 / $6,760.83	Facility		$2,454.71	$4,570.88	$6,760.83
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $457.09 / $457.09 / $676.08	Facility	AS	$457.09	$457.09	$676.08
Quartz Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $2,089.30 / $3,235.94	Professional		$776.25	$2,089.30	$3,235.94
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $2,398.83 / $2,818.38	Professional		$1,000.00	$2,398.83	$2,818.38
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 $467.74 / $676.08 / $1,778.28	Professional		$467.74	$676.08	$1,778.28