Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,584.89 / $14,454.40	Facility		$707.95	$1,584.89	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $758.58 / $1,949.84	Professional		$660.69	$758.58	$1,949.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $8,128.31 / $13,489.63	Facility		$5,011.87	$8,128.31	$13,489.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,412.54 / $3,548.13	Professional		$724.44	$1,412.54	$3,548.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $2,238.72 / $3,548.13	Facility		$1,905.46	$2,238.72	$3,548.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $3,019.95 / $3,388.44	Professional		$977.24	$3,019.95	$3,388.44
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,513.56 / $10,000.00	Facility		$741.31	$1,513.56	$10,000.00
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,819.70 / $2,344.23	Professional		$1,348.96	$1,819.70	$2,344.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,548.82 / $14,125.38	Facility		$741.31	$1,548.82	$14,125.38
Medica Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,318.26 / $5,495.41	Professional		$741.31	$1,318.26	$5,495.41
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 $1,148.15 / $1,698.24 / $2,630.27	Professional		$1,148.15	$1,698.24	$2,630.27
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $6,165.95 / $6,165.95	Facility		$1,949.84	$6,165.95	$6,165.95
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $3,548.13 / $5,623.41	Professional		$1,348.96	$3,548.13	$5,623.41
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $2,344.23 / $2,344.23	Professional		$2,344.23	$2,344.23	$2,344.23
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $4,073.80 / $4,677.35	Professional		$1,412.54	$4,073.80	$4,677.35
United Facility/Professional Facility Modifier Low / Median / High Price $8,912.51 / $13,803.84 / $17,782.79	Facility		$8,912.51	$13,803.84	$17,782.79
United Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,096.48 / $3,019.95	Professional		$724.44	$1,096.48	$3,019.95