Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,737.80 / $14,454.40	Facility		$812.83	$1,737.80	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $870.96 / $2,818.38	Professional		$776.25	$870.96	$2,818.38
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 $812.83 / $1,621.81 / $4,365.16	Professional		$812.83	$1,621.81	$4,365.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $2,570.40 / $4,265.80	Facility		$2,187.76	$2,570.40	$4,265.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $3,467.37 / $3,890.45	Professional		$1,071.52	$3,467.37	$3,890.45
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,659.59 / $6,918.31	Facility		$851.14	$1,659.59	$6,918.31
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,041.74 / $2,630.27	Professional		$1,513.56	$2,041.74	$2,630.27
Medica Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,737.80 / $15,135.61	Facility		$851.14	$1,737.80	$15,135.61
Medica Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,513.56 / $6,309.57	Professional		$870.96	$1,513.56	$6,309.57
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 $1,258.93 / $1,905.46 / $2,884.03	Professional		$1,258.93	$1,905.46	$2,884.03
Quartz Facility/Professional Facility Modifier Low / Median / High Price $10,232.93 / $19,054.61 / $28,183.83	Facility		$10,232.93	$19,054.61	$28,183.83
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $4,073.80 / $6,165.95	Professional		$1,513.56	$4,073.80	$6,165.95
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $2,691.53 / $2,691.53	Professional		$2,691.53	$2,691.53	$2,691.53
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $4,677.35 / $5,370.32	Professional		$2,398.83	$4,677.35	$5,370.32
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 $851.14 / $1,258.93 / $3,467.37	Professional		$851.14	$1,258.93	$3,467.37