Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $1,258.93 / $14,454.40	Facility		$602.56	$1,258.93	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $630.96 / $1,819.70	Professional		$562.34	$630.96	$1,819.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $7,943.28 / $12,589.25	Facility		$5,011.87	$7,943.28	$12,589.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $1,258.93 / $3,235.94	Professional		$588.84	$1,258.93	$3,235.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $1,862.09 / $3,162.28	Facility		$1,621.81	$1,862.09	$3,162.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $2,511.89 / $2,818.38	Professional		$912.01	$2,511.89	$2,818.38
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $1,202.26 / $5,495.41	Facility		$602.56	$1,202.26	$5,495.41
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,479.11 / $1,819.70	Professional		$1,096.48	$1,479.11	$1,819.70
Medica Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $1,258.93 / $8,317.64	Facility		$602.56	$1,258.93	$8,317.64
Medica Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $1,174.90 / $5,248.07	Professional		$660.69	$1,174.90	$5,248.07
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 / $5,370.32	Professional		$1,096.48	$2,951.21	$5,370.32
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 $1,778.28 / $3,388.44 / $3,890.45	Professional		$1,778.28	$3,388.44	$3,890.45
United Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $7,413.10 / $9,120.11	Facility		$4,897.79	$7,413.10	$9,120.11
United Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $933.25 / $2,511.89	Professional		$630.96	$933.25	$2,511.89