Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $1,174.90 / $14,454.40	Facility		$549.54	$1,174.90	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $575.44 / $1,445.44	Professional		$512.86	$575.44	$1,445.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $4,570.88 / $7,079.46	Facility		$2,630.27	$4,570.88	$7,079.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $1,148.15 / $2,691.53	Professional		$537.03	$1,148.15	$2,691.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $1,737.80 / $2,754.23	Facility		$1,479.11	$1,737.80	$2,754.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $2,398.83 / $2,884.03	Professional		$691.83	$2,398.83	$2,884.03
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $1,096.48 / $5,495.41	Facility		$512.86	$1,096.48	$5,495.41
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,348.96 / $1,737.80	Professional		$1,023.29	$1,348.96	$1,737.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $1,174.90 / $5,248.07	Facility		$549.54	$1,174.90	$5,248.07
Medica Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $954.99 / $4,168.69	Professional		$537.03	$954.99	$4,168.69
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 $870.96 / $1,288.25 / $1,995.26	Professional		$870.96	$1,288.25	$1,995.26
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $3,235.94 / $4,786.30	Facility		$1,737.80	$3,235.94	$4,786.30
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $2,630.27 / $4,073.80	Professional		$1,000.00	$2,630.27	$4,073.80
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $1,819.70	Professional		$1,819.70	$1,819.70	$1,819.70
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $3,090.30 / $3,548.13	Professional		$1,584.89	$3,090.30	$3,548.13
United Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $3,801.89 / $6,456.54	Facility		$2,884.03	$3,801.89	$6,456.54
United Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $794.33 / $2,238.72	Professional		$524.81	$794.33	$2,238.72