Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $2,290.87 / $3,090.30	Facility		$575.44	$2,290.87	$3,090.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $602.56 / $1,513.56	Professional		$512.86	$602.56	$1,513.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $4,786.30 / $7,585.78	Facility		$3,311.31	$4,786.30	$7,585.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $1,202.26 / $2,754.23	Professional		$549.54	$1,202.26	$2,754.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $1,819.70 / $2,884.03	Facility		$1,548.82	$1,819.70	$2,884.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $2,398.83 / $2,754.23	Professional		$776.25	$2,398.83	$2,754.23
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $1,174.90 / $3,981.07	Facility		$575.44	$1,174.90	$3,981.07
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,445.44 / $1,819.70	Professional		$1,071.52	$1,445.44	$1,819.70
Medica Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $1,230.27 / $5,248.07	Facility		$562.34	$1,230.27	$5,248.07
Medica Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $977.24 / $4,466.84	Professional		$549.54	$977.24	$4,466.84
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 $891.25 / $1,348.96 / $2,089.30	Professional		$891.25	$1,348.96	$2,089.30
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $4,786.30 / $4,786.30	Facility		$3,235.94	$4,786.30	$4,786.30
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $2,630.27 / $4,365.16	Professional		$1,047.13	$2,630.27	$4,365.16
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 / $3,801.89	Professional		$851.14	$3,090.30	$3,801.89
United Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $3,801.89 / $6,456.54	Facility		$2,884.03	$3,801.89	$6,456.54
United Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $812.83 / $2,238.72	Professional		$549.54	$812.83	$2,238.72