Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $1,698.24 / $6,456.54	Facility		$549.54	$1,698.24	$6,456.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $588.84 / $1,659.59	Professional		$524.81	$588.84	$1,659.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $7,762.47 / $12,589.25	Facility		$3,981.07	$7,762.47	$12,589.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $1,148.15 / $3,090.30	Professional		$549.54	$1,148.15	$3,090.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $1,737.80 / $2,951.21	Facility		$1,479.11	$1,737.80	$2,951.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $2,398.83 / $2,884.03	Professional		$741.31	$2,398.83	$2,884.03
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $1,122.02 / $5,495.41	Facility		$562.34	$1,122.02	$5,495.41
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,380.38 / $1,778.28	Professional		$1,023.29	$1,380.38	$1,778.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $1,174.90 / $5,754.40	Facility		$575.44	$1,174.90	$5,754.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $1,000.00 / $5,011.87	Professional		$562.34	$1,000.00	$5,011.87
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 $851.14 / $1,288.25 / $1,995.26	Professional		$851.14	$1,288.25	$1,995.26
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 $1,023.29 / $2,691.53 / $5,128.61	Professional		$1,023.29	$2,691.53	$5,128.61
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 $1,621.81 / $3,162.28 / $3,630.78	Professional		$1,621.81	$3,162.28	$3,630.78
United Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $3,801.89 / $6,606.93	Facility		$2,884.03	$3,801.89	$6,606.93
United Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $831.76 / $2,290.87	Professional		$537.03	$831.76	$2,290.87