Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $5,370.32 / $7,244.36	Facility		$831.76	$5,370.32	$7,244.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $851.14 / $2,089.30	Professional		$758.58	$851.14	$2,089.30
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 / $1,737.80 / $4,168.69	Professional		$794.33	$1,737.80	$4,168.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $2,570.40 / $4,168.69	Facility		$2,238.72	$2,570.40	$4,168.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $3,548.13 / $4,265.80	Professional		$1,096.48	$3,548.13	$4,265.80
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,548.82 / $5,495.41	Facility		$851.14	$1,548.82	$5,495.41
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,995.26 / $2,570.40	Professional		$1,479.11	$1,995.26	$2,570.40
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 $831.76 / $1,445.44 / $6,165.95	Professional		$831.76	$1,445.44	$6,165.95
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 $1,288.25 / $1,949.84 / $3,019.95	Professional		$1,288.25	$1,949.84	$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 $1,479.11 / $3,890.45 / $6,025.60	Professional		$1,479.11	$3,890.45	$6,025.60
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $2,754.23 / $2,754.23	Professional		$2,754.23	$2,754.23	$2,754.23
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $4,677.35 / $5,370.32	Professional		$1,445.44	$4,677.35	$5,370.32
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 $794.33 / $1,230.27 / $3,311.31	Professional		$794.33	$1,230.27	$3,311.31