Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $1,174.90 / $14,454.40	Facility		$549.54	$1,174.90	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $575.44 / $1,479.11	Professional		$512.86	$575.44	$1,479.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $8,317.64 / $13,489.63	Facility		$5,011.87	$8,317.64	$13,489.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $1,148.15 / $2,951.21	Professional		$549.54	$1,148.15	$2,951.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $1,737.80 / $2,884.03	Facility		$1,479.11	$1,737.80	$2,884.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $2,290.87 / $2,630.27	Professional		$776.25	$2,290.87	$2,630.27
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $1,122.02 / $3,981.07	Facility		$562.34	$1,122.02	$3,981.07
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,348.96 / $1,778.28	Professional		$1,023.29	$1,348.96	$1,778.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $1,174.90 / $11,220.18	Facility		$562.34	$1,174.90	$11,220.18
Medica Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $1,023.29 / $4,265.80	Professional		$562.34	$1,023.29	$4,265.80
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 $851.14 / $1,288.25 / $1,949.84	Professional		$851.14	$1,288.25	$1,949.84
Quartz Facility/Professional Facility Modifier Low / Median / High Price $4,168.69 / $7,762.47 / $11,481.54	Facility		$4,168.69	$7,762.47	$11,481.54
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $2,691.53 / $4,265.80	Professional		$1,000.00	$2,691.53	$4,265.80
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $1,819.70	Professional		$1,819.70	$1,819.70	$1,819.70
Security Health Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $3,090.30 / $3,630.78	Professional		$851.14	$3,090.30	$3,630.78
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 $537.03 / $831.76 / $2,290.87	Professional		$537.03	$831.76	$2,290.87