Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $1,288.25 / $14,454.40	Facility		$616.60	$1,288.25	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $645.65 / $1,659.59	Professional		$575.44	$645.65	$1,659.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,585.78 / $15,135.61 / $26,302.68	Facility		$7,585.78	$15,135.61	$26,302.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $1,258.93 / $3,235.94	Professional		$602.56	$1,258.93	$3,235.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $1,905.46 / $3,235.94	Facility		$1,621.81	$1,905.46	$3,235.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $2,570.40 / $2,884.03	Professional		$812.83	$2,570.40	$2,884.03
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $1,230.27 / $6,456.54	Facility		$630.96	$1,230.27	$6,456.54
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,513.56 / $1,949.84	Professional		$1,122.02	$1,513.56	$1,949.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $1,288.25 / $8,317.64	Facility		$645.65	$1,288.25	$8,317.64
Medica Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $1,122.02 / $4,677.35	Professional		$630.96	$1,122.02	$4,677.35
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 $933.25 / $1,445.44 / $2,187.76	Professional		$933.25	$1,445.44	$2,187.76
Quartz Facility/Professional Facility Modifier Low / Median / High Price $7,244.36 / $13,489.63 / $19,952.62	Facility		$7,244.36	$13,489.63	$19,952.62
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $2,951.21 / $4,570.88	Professional		$1,122.02	$2,951.21	$4,570.88
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $1,995.26	Professional		$1,995.26	$1,995.26	$1,995.26
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $3,467.37 / $3,981.07	Professional		$1,548.82	$3,467.37	$3,981.07
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 $616.60 / $933.25 / $2,570.40	Professional		$616.60	$933.25	$2,570.40