Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,584.89 / $14,454.40	Facility		$758.58	$1,584.89	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $776.25 / $1,949.84	Professional		$707.95	$776.25	$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 $758.58 / $1,548.82 / $3,715.35	Professional		$758.58	$1,548.82	$3,715.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $2,344.23 / $3,715.35	Facility		$1,995.26	$2,344.23	$3,715.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $3,162.28 / $3,548.13	Professional		$1,000.00	$3,162.28	$3,548.13
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,513.56 / $10,000.00	Facility		$758.58	$1,513.56	$10,000.00
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,862.09 / $2,398.83	Professional		$1,380.38	$1,862.09	$2,398.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,584.89 / $15,135.61	Facility		$776.25	$1,584.89	$15,135.61
Medica Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,380.38 / $5,754.40	Professional		$776.25	$1,380.38	$5,754.40
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 / $1,737.80 / $2,630.27	Professional		$1,148.15	$1,737.80	$2,630.27
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $6,309.57 / $6,309.57	Facility		$1,995.26	$6,309.57	$6,309.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $3,715.35 / $5,623.41	Professional		$1,380.38	$3,715.35	$5,623.41
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $2,454.71 / $2,454.71	Professional		$2,454.71	$2,454.71	$2,454.71
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $4,265.80 / $4,897.79	Professional		$1,288.25	$4,265.80	$4,897.79
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 $741.31 / $1,148.15 / $3,162.28	Professional		$741.31	$1,148.15	$3,162.28