Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,659.59 / $14,454.40	Facility		$812.83	$1,659.59	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $831.76 / $2,041.74	Professional		$741.31	$831.76	$2,041.74
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 $776.25 / $1,659.59 / $4,073.80	Professional		$776.25	$1,659.59	$4,073.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $2,511.89 / $3,981.07	Facility		$2,137.96	$2,511.89	$3,981.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $3,388.44 / $4,168.69	Professional		$1,047.13	$3,388.44	$4,168.69
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,584.89 / $4,168.69	Facility		$812.83	$1,584.89	$4,168.69
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,949.84 / $2,454.71	Professional		$1,445.44	$1,949.84	$2,454.71
Medica Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,659.59 / $6,165.95	Facility		$812.83	$1,659.59	$6,165.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,348.96 / $6,025.60	Professional		$776.25	$1,348.96	$6,025.60
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 $1,258.93 / $1,905.46 / $2,884.03	Professional		$1,258.93	$1,905.46	$2,884.03
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 $1,445.44 / $3,715.35 / $5,888.44	Professional		$1,445.44	$3,715.35	$5,888.44
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $2,691.53 / $2,691.53	Professional		$2,691.53	$2,691.53	$2,691.53
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $4,466.84 / $5,248.07	Professional		$1,698.24	$4,466.84	$5,248.07
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 $776.25 / $1,122.02 / $3,162.28	Professional		$776.25	$1,122.02	$3,162.28