Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $1,258.93 / $14,454.40	Facility		$588.84	$1,258.93	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $616.60 / $1,548.82	Professional		$549.54	$616.60	$1,548.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,585.78 / $15,135.61 / $26,302.68	Facility		$7,585.78	$15,135.61	$26,302.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $1,174.90 / $3,311.31	Professional		$588.84	$1,174.90	$3,311.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $1,862.09 / $3,090.30	Facility		$1,584.89	$1,862.09	$3,090.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $2,570.40 / $3,090.30	Professional		$776.25	$2,570.40	$3,090.30
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 / $1,445.44 / $1,862.09	Professional		$1,096.48	$1,445.44	$1,862.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $1,258.93 / $11,481.54	Facility		$616.60	$1,258.93	$11,481.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $1,071.52 / $5,248.07	Professional		$602.56	$1,071.52	$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 $912.01 / $1,380.38 / $2,089.30	Professional		$912.01	$1,380.38	$2,089.30
Quartz Facility/Professional Facility Modifier Low / Median / High Price $7,244.36 / $13,489.63 / $19,952.62	Facility		$7,244.36	$13,489.63	$19,952.62
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $2,884.03 / $5,370.32	Professional		$1,071.52	$2,884.03	$5,370.32
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $1,949.84 / $1,949.84	Professional		$1,949.84	$1,949.84	$1,949.84
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $3,311.31 / $3,890.45	Professional		$1,737.80	$3,311.31	$3,890.45
United Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $10,232.93 / $14,454.40	Facility		$6,606.93	$10,232.93	$14,454.40
United Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $891.25 / $2,454.71	Professional		$588.84	$891.25	$2,454.71