Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $1,288.25 / $14,454.40	Facility		$602.56	$1,288.25	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $630.96 / $1,905.46	Professional		$537.03	$630.96	$1,905.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $8,317.64 / $14,125.38	Facility		$5,011.87	$8,317.64	$14,125.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $1,202.26 / $3,019.95	Professional		$602.56	$1,202.26	$3,019.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $1,905.46 / $3,162.28	Facility		$1,621.81	$1,905.46	$3,162.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $2,511.89 / $2,884.03	Professional		$912.01	$2,511.89	$2,884.03
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $1,230.27 / $5,495.41	Facility		$616.60	$1,230.27	$5,495.41
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,479.11 / $1,905.46	Professional		$1,122.02	$1,479.11	$1,905.46
Medica Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $1,288.25 / $13,182.57	Facility		$630.96	$1,288.25	$13,182.57
Medica Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $1,096.48 / $4,897.79	Professional		$630.96	$1,096.48	$4,897.79
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 $933.25 / $1,412.54 / $2,137.96	Professional		$933.25	$1,412.54	$2,137.96
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 $1,096.48 / $2,951.21 / $5,128.61	Professional		$1,096.48	$2,951.21	$5,128.61
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $1,995.26	Professional		$1,995.26	$1,995.26	$1,995.26
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $3,388.44 / $3,981.07	Professional		$1,513.56	$3,388.44	$3,981.07
United Facility/Professional Facility Modifier Low / Median / High Price $7,585.78 / $12,022.64 / $16,218.10	Facility		$7,585.78	$12,022.64	$16,218.10
United Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $933.25 / $2,511.89	Professional		$588.84	$933.25	$2,511.89