Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,479.11 / $14,454.40	Facility		$707.95	$1,479.11	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $724.44 / $1,819.70	Professional		$645.65	$724.44	$1,819.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,715.19 / $15,135.61 / $26,302.68	Facility		$10,715.19	$15,135.61	$26,302.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,412.54 / $3,630.78	Professional		$691.83	$1,412.54	$3,630.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $2,187.76 / $3,630.78	Facility		$1,862.09	$2,187.76	$3,630.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $2,951.21 / $3,311.31	Professional		$1,071.52	$2,951.21	$3,311.31
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,445.44 / $5,495.41	Facility		$724.44	$1,445.44	$5,495.41
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,737.80 / $2,137.96	Professional		$1,288.25	$1,737.80	$2,137.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,479.11 / $15,135.61	Facility		$724.44	$1,479.11	$15,135.61
Medica Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,380.38 / $6,025.60	Professional		$758.58	$1,380.38	$6,025.60
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 $1,071.52 / $1,621.81 / $2,454.71	Professional		$1,071.52	$1,621.81	$2,454.71
Quartz Facility/Professional Facility Modifier Low / Median / High Price $7,244.36 / $13,489.63 / $19,952.62	Facility		$7,244.36	$13,489.63	$19,952.62
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $3,388.44 / $6,165.95	Professional		$1,288.25	$3,388.44	$6,165.95
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $2,290.87 / $2,290.87	Professional		$2,290.87	$2,290.87	$2,290.87
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $3,981.07 / $4,570.88	Professional		$2,089.30	$3,981.07	$4,570.88
United Facility/Professional Facility Modifier Low / Median / High Price $7,585.78 / $12,302.69 / $16,595.87	Facility		$7,585.78	$12,302.69	$16,595.87
United Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,122.02 / $2,884.03	Professional		$741.31	$1,122.02	$2,884.03