Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,548.82 / $14,454.40	Facility		$758.58	$1,548.82	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $776.25 / $1,905.46	Professional		$691.83	$776.25	$1,905.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $7,943.28 / $13,182.57	Facility		$5,011.87	$7,943.28	$13,182.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,513.56 / $3,801.89	Professional		$724.44	$1,513.56	$3,801.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $2,344.23 / $3,715.35	Facility		$1,995.26	$2,344.23	$3,715.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $3,162.28 / $3,890.45	Professional		$977.24	$3,162.28	$3,890.45
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,479.11 / $6,760.83	Facility		$758.58	$1,479.11	$6,760.83
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,819.70 / $2,290.87	Professional		$1,348.96	$1,819.70	$2,290.87
Medica Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,548.82 / $11,220.18	Facility		$758.58	$1,548.82	$11,220.18
Medica Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,288.25 / $5,623.41	Professional		$741.31	$1,288.25	$5,623.41
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 $1,174.90 / $1,778.28 / $2,691.53	Professional		$1,174.90	$1,778.28	$2,691.53
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 $1,348.96 / $3,467.37 / $5,495.41	Professional		$1,348.96	$3,467.37	$5,495.41
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $2,511.89 / $2,511.89	Professional		$2,511.89	$2,511.89	$2,511.89
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $4,168.69 / $4,786.30	Professional		$1,148.15	$4,168.69	$4,786.30
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 $724.44 / $1,096.48 / $2,951.21	Professional		$724.44	$1,096.48	$2,951.21