Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $1,380.38 / $14,454.40	Facility		$676.08	$1,380.38	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $691.83 / $1,698.24	Professional		$616.60	$691.83	$1,698.24
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 $645.65 / $1,318.26 / $3,388.44	Professional		$645.65	$1,318.26	$3,388.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $2,089.30 / $3,388.44	Facility		$1,819.70	$2,089.30	$3,388.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $2,884.03 / $3,467.37	Professional		$891.25	$2,884.03	$3,467.37
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $1,202.26 / $3,548.13	Facility		$660.69	$1,202.26	$3,548.13
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,621.81 / $2,041.74	Professional		$1,202.26	$1,621.81	$2,041.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $1,380.38 / $5,754.40	Facility		$676.08	$1,380.38	$5,754.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $1,122.02 / $5,011.87	Professional		$645.65	$1,122.02	$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 $1,071.52 / $1,621.81 / $2,454.71	Professional		$1,071.52	$1,621.81	$2,454.71
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 $1,202.26 / $3,090.30 / $4,897.79	Professional		$1,202.26	$3,090.30	$4,897.79
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $2,238.72 / $2,238.72	Professional		$2,238.72	$2,238.72	$2,238.72
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $3,801.89 / $4,365.16	Professional		$1,778.28	$3,801.89	$4,365.16
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 $630.96 / $977.24 / $2,630.27	Professional		$630.96	$977.24	$2,630.27