Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,513.56 / $14,454.40	Facility		$724.44	$1,513.56	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $758.58 / $1,862.09	Professional		$676.08	$758.58	$1,862.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,022.64 / $16,982.44 / $29,512.09	Facility		$12,022.64	$16,982.44	$29,512.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,479.11 / $3,801.89	Professional		$724.44	$1,479.11	$3,801.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $2,238.72 / $3,801.89	Facility		$1,905.46	$2,238.72	$3,801.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $3,019.95 / $3,388.44	Professional		$1,096.48	$3,019.95	$3,388.44
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 $1,318.26 / $1,778.28 / $2,290.87	Professional		$1,318.26	$1,778.28	$2,290.87
Medica Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,513.56 / $15,135.61	Facility		$741.31	$1,513.56	$15,135.61
Medica Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,412.54 / $6,165.95	Professional		$794.33	$1,412.54	$6,165.95
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 $1,096.48 / $1,659.59 / $2,511.89	Professional		$1,096.48	$1,659.59	$2,511.89
Quartz Facility/Professional Facility Modifier Low / Median / High Price $17,378.01 / $32,359.37 / $47,863.01	Facility		$17,378.01	$32,359.37	$47,863.01
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $3,548.13 / $6,456.54	Professional		$1,318.26	$3,548.13	$6,456.54
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $2,398.83 / $2,398.83	Professional		$2,398.83	$2,398.83	$2,398.83
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $4,073.80 / $4,677.35	Professional		$2,137.96	$4,073.80	$4,677.35
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 $776.25 / $1,148.15 / $3,019.95	Professional		$776.25	$1,148.15	$3,019.95