Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $1,202.26 / $14,454.40	Facility		$562.34	$1,202.26	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $588.84 / $1,479.11	Professional		$524.81	$588.84	$1,479.11
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 $562.34 / $1,174.90 / $3,019.95	Professional		$562.34	$1,174.90	$3,019.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $1,778.28 / $2,951.21	Facility		$1,513.56	$1,778.28	$2,951.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $2,344.23 / $2,691.53	Professional		$812.83	$2,344.23	$2,691.53
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $1,148.15 / $6,456.54	Facility		$575.44	$1,148.15	$6,456.54
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,380.38 / $1,778.28	Professional		$1,023.29	$1,380.38	$1,778.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $1,202.26 / $11,220.18	Facility		$575.44	$1,202.26	$11,220.18
Medica Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $1,023.29 / $4,265.80	Professional		$575.44	$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 $870.96 / $1,318.26 / $1,995.26	Professional		$870.96	$1,318.26	$1,995.26
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 $1,023.29 / $2,754.23 / $4,168.69	Professional		$1,023.29	$2,754.23	$4,168.69
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $1,862.09 / $1,862.09	Professional		$1,862.09	$1,862.09	$1,862.09
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $3,162.28 / $3,630.78	Professional		$1,023.29	$3,162.28	$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 $549.54 / $851.14 / $2,344.23	Professional		$549.54	$851.14	$2,344.23