Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $1,445.44 / $14,454.40	Facility		$676.08	$1,445.44	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $707.95 / $1,862.09	Professional		$645.65	$707.95	$1,862.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $8,128.31 / $13,489.63	Facility		$5,011.87	$8,128.31	$13,489.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $1,412.54 / $3,388.44	Professional		$676.08	$1,412.54	$3,388.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $2,137.96 / $3,388.44	Facility		$1,819.70	$2,137.96	$3,388.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $2,818.38 / $3,235.94	Professional		$1,047.13	$2,818.38	$3,235.94
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,380.38 / $10,000.00	Facility		$707.95	$1,380.38	$10,000.00
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,698.24 / $2,187.76	Professional		$1,258.93	$1,698.24	$2,187.76
Medica Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,445.44 / $15,135.61	Facility		$707.95	$1,445.44	$15,135.61
Medica Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,318.26 / $5,370.32	Professional		$741.31	$1,318.26	$5,370.32
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 $1,047.13 / $1,584.89 / $2,398.83	Professional		$1,047.13	$1,584.89	$2,398.83
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $4,365.16 / $4,365.16	Facility		$1,819.70	$4,365.16	$4,365.16
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $3,311.31 / $5,495.41	Professional		$1,230.27	$3,311.31	$5,495.41
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $2,238.72 / $2,238.72	Professional		$2,238.72	$2,238.72	$2,238.72
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $3,890.45 / $4,466.84	Professional		$2,041.74	$3,890.45	$4,466.84
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 $724.44 / $1,096.48 / $2,818.38	Professional		$724.44	$1,096.48	$2,818.38