Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $1,318.26 / $14,454.40	Facility		$616.60	$1,318.26	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $645.65 / $1,380.38	Professional		$575.44	$645.65	$1,380.38
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 $616.60 / $1,288.25 / $3,090.30	Professional		$616.60	$1,288.25	$3,090.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $1,905.46 / $3,090.30	Facility		$1,659.59	$1,905.46	$3,090.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $2,630.27 / $3,235.94	Professional		$776.25	$2,630.27	$3,235.94
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $1,230.27 / $3,981.07	Facility		$616.60	$1,230.27	$3,981.07
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,513.56 / $1,949.84	Professional		$1,122.02	$1,513.56	$1,949.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $1,288.25 / $5,248.07	Facility		$630.96	$1,288.25	$5,248.07
Medica Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $1,096.48 / $4,897.79	Professional		$549.54	$1,096.48	$4,897.79
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 $954.99 / $1,445.44 / $2,187.76	Professional		$954.99	$1,445.44	$2,187.76
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $4,786.30 / $4,786.30	Facility		$3,235.94	$4,786.30	$4,786.30
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $3,019.95 / $4,897.79	Professional		$1,122.02	$3,019.95	$4,897.79
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,041.74 / $2,041.74	Professional		$2,041.74	$2,041.74	$2,041.74
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $3,467.37 / $3,981.07	Professional		$1,819.70	$3,467.37	$3,981.07
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 $549.54 / $912.01 / $2,570.40	Professional		$549.54	$912.01	$2,570.40