Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $1,380.38 / $14,454.40	Facility		$660.69	$1,380.38	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $691.83 / $1,737.80	Professional		$616.60	$691.83	$1,737.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $8,317.64 / $14,125.38	Facility		$5,011.87	$8,317.64	$14,125.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $1,318.26 / $3,235.94	Professional		$660.69	$1,318.26	$3,235.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $2,041.74 / $3,235.94	Facility		$1,737.80	$2,041.74	$3,235.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $2,754.23 / $3,090.30	Professional		$870.96	$2,754.23	$3,090.30
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $1,380.38 / $5,495.41	Facility		$676.08	$1,380.38	$5,495.41
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,621.81 / $2,089.30	Professional		$1,202.26	$1,621.81	$2,089.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $1,380.38 / $13,182.57	Facility		$691.83	$1,380.38	$13,182.57
Medica Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $1,148.15 / $5,248.07	Professional		$660.69	$1,148.15	$5,248.07
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 $1,000.00 / $1,513.56 / $2,344.23	Professional		$1,000.00	$1,513.56	$2,344.23
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 $1,202.26 / $3,235.94 / $5,248.07	Professional		$1,202.26	$3,235.94	$5,248.07
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,187.76 / $2,187.76	Professional		$2,187.76	$2,187.76	$2,187.76
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $3,715.35 / $4,265.80	Professional		$1,202.26	$3,715.35	$4,265.80
United Facility/Professional Facility Modifier Low / Median / High Price $7,585.78 / $12,022.64 / $16,218.10	Facility		$7,585.78	$12,022.64	$16,218.10
United Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $1,000.00 / $2,691.53	Professional		$645.65	$1,000.00	$2,691.53