Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,737.80 / $14,454.40	Facility		$851.14	$1,737.80	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $870.96 / $2,041.74	Professional		$741.31	$870.96	$2,041.74
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 $794.33 / $1,659.59 / $4,168.69	Professional		$794.33	$1,659.59	$4,168.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $2,630.27 / $4,168.69	Facility		$2,238.72	$2,630.27	$4,168.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $3,548.13 / $4,365.16	Professional		$1,096.48	$3,548.13	$4,365.16
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,479.11 / $6,456.54	Facility		$851.14	$1,479.11	$6,456.54
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,041.74 / $2,511.89	Professional		$1,513.56	$2,041.74	$2,511.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,737.80 / $11,220.18	Facility		$851.14	$1,737.80	$11,220.18
Medica Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,348.96 / $6,309.57	Professional		$776.25	$1,348.96	$6,309.57
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 $1,318.26 / $1,995.26 / $3,019.95	Professional		$1,318.26	$1,995.26	$3,019.95
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 $1,513.56 / $3,981.07 / $6,165.95	Professional		$1,513.56	$3,981.07	$6,165.95
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $2,818.38 / $2,818.38	Professional		$2,818.38	$2,818.38	$2,818.38
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $4,786.30 / $5,495.41	Professional		$1,348.96	$4,786.30	$5,495.41
United Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $10,232.93 / $12,589.25	Facility		$6,606.93	$10,232.93	$12,589.25
United Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,202.26 / $3,311.31	Professional		$776.25	$1,202.26	$3,311.31