Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $1,230.27 / $14,454.40	Facility		$588.84	$1,230.27	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $616.60 / $1,513.56	Professional		$549.54	$616.60	$1,513.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $8,317.64 / $13,182.57	Facility		$5,011.87	$8,317.64	$13,182.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $1,230.27 / $3,090.30	Professional		$575.44	$1,230.27	$3,090.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $1,819.70 / $3,090.30	Facility		$1,584.89	$1,819.70	$3,090.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $2,454.71 / $2,818.38	Professional		$891.25	$2,454.71	$2,818.38
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $1,202.26 / $5,495.41	Facility		$602.56	$1,202.26	$5,495.41
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,445.44 / $1,862.09	Professional		$1,071.52	$1,445.44	$1,862.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $1,230.27 / $11,220.18	Facility		$616.60	$1,230.27	$11,220.18
Medica Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $1,148.15 / $5,248.07	Professional		$645.65	$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 $912.01 / $1,380.38 / $2,089.30	Professional		$912.01	$1,380.38	$2,089.30
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 $1,071.52 / $2,818.38 / $5,495.41	Professional		$1,071.52	$2,818.38	$5,495.41
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $1,949.84 / $1,949.84	Professional		$1,949.84	$1,949.84	$1,949.84
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $3,311.31 / $3,801.89	Professional		$1,348.96	$3,311.31	$3,801.89
United Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $10,232.93 / $12,589.25	Facility		$6,606.93	$10,232.93	$12,589.25
United Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $933.25 / $2,454.71	Professional		$616.60	$933.25	$2,454.71