Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $1,445.44 / $14,454.40	Facility		$676.08	$1,445.44	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $707.95 / $1,862.09	Professional		$630.96	$707.95	$1,862.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $8,317.64 / $13,182.57	Facility		$5,011.87	$8,317.64	$13,182.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $1,412.54 / $3,388.44	Professional		$676.08	$1,412.54	$3,388.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $2,137.96 / $3,388.44	Facility		$1,819.70	$2,137.96	$3,388.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $2,818.38 / $3,235.94	Professional		$954.99	$2,818.38	$3,235.94
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $1,380.38 / $6,918.31	Facility		$691.83	$1,380.38	$6,918.31
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,659.59 / $2,137.96	Professional		$1,230.27	$1,659.59	$2,137.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,445.44 / $11,220.18	Facility		$707.95	$1,445.44	$11,220.18
Medica Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,258.93 / $5,128.61	Professional		$707.95	$1,258.93	$5,128.61
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 $1,047.13 / $1,584.89 / $2,398.83	Professional		$1,047.13	$1,584.89	$2,398.83
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $6,025.60 / $8,912.51	Facility		$3,235.94	$6,025.60	$8,912.51
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $3,311.31 / $5,128.61	Professional		$1,230.27	$3,311.31	$5,128.61
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $2,238.72 / $2,238.72	Professional		$2,238.72	$2,238.72	$2,238.72
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $3,801.89 / $4,365.16	Professional		$1,318.26	$3,801.89	$4,365.16
United Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $10,232.93 / $12,589.25	Facility		$6,606.93	$10,232.93	$12,589.25
United Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $1,047.13 / $2,818.38	Professional		$676.08	$1,047.13	$2,818.38