Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $1,047.13 / $14,454.40	Facility		$501.19	$1,047.13	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $524.81 / $1,202.26	Professional		$446.68	$524.81	$1,202.26
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 $489.78 / $1,023.29 / $2,691.53	Professional		$489.78	$1,023.29	$2,691.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,584.89 / $2,630.27	Facility		$1,348.96	$1,584.89	$2,630.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $2,137.96 / $2,630.27	Professional		$660.69	$2,137.96	$2,630.27
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $933.25 / $3,981.07	Facility		$501.19	$933.25	$3,981.07
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,230.27 / $1,513.56	Professional		$912.01	$1,230.27	$1,513.56
Medica Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $1,047.13 / $5,754.40	Facility		$501.19	$1,047.13	$5,754.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $831.76 / $3,801.89	Professional		$478.63	$831.76	$3,801.89
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 $794.33 / $1,202.26 / $1,819.70	Professional		$794.33	$1,202.26	$1,819.70
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 $912.01 / $2,344.23 / $3,715.35	Professional		$912.01	$2,344.23	$3,715.35
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $1,659.59	Professional		$1,659.59	$1,659.59	$1,659.59
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $2,818.38 / $3,235.94	Professional		$1,318.26	$2,818.38	$3,235.94
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 $467.74 / $724.44 / $1,995.26	Professional		$467.74	$724.44	$1,995.26