Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,862.09 / $14,454.40	Facility		$912.01	$1,862.09	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $933.25 / $1,862.09	Professional		$691.83	$933.25	$1,862.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,715.19 / $15,135.61 / $26,302.68	Facility		$10,715.19	$15,135.61	$26,302.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,778.28 / $4,073.80	Professional		$741.31	$1,778.28	$4,073.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $2,884.03 / $4,786.30	Facility		$2,454.71	$2,884.03	$4,786.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $3,801.89 / $4,265.80	Professional		$1,071.52	$3,801.89	$4,265.80
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,479.11 / $3,981.07	Facility		$870.96	$1,479.11	$3,981.07
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,137.96 / $2,511.89	Professional		$1,621.81	$2,137.96	$2,511.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,862.09 / $11,481.54	Facility		$912.01	$1,862.09	$11,481.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,202.26 / $6,760.83	Professional		$707.95	$1,202.26	$6,760.83
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 $1,445.44 / $2,137.96 / $3,162.28	Professional		$1,445.44	$2,137.96	$3,162.28
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 $1,621.81 / $3,890.45 / $6,606.93	Professional		$1,621.81	$3,890.45	$6,606.93
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $2,630.27 / $2,630.27	Professional		$2,630.27	$2,630.27	$2,630.27
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $4,168.69 / $5,888.44	Professional		$1,698.24	$4,168.69	$5,888.44
United Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $10,232.93 / $14,454.40	Facility		$6,606.93	$10,232.93	$14,454.40
United Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,122.02 / $3,235.94	Professional		$707.95	$1,122.02	$3,235.94