Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,778.28 / $14,454.40	Facility		$851.14	$1,778.28	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $891.25 / $2,290.87	Professional		$794.33	$891.25	$2,290.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $8,317.64 / $14,125.38	Facility		$5,011.87	$8,317.64	$14,125.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,698.24 / $4,168.69	Professional		$851.14	$1,698.24	$4,168.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $2,630.27 / $4,168.69	Facility		$2,238.72	$2,630.27	$4,168.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $3,548.13 / $3,981.07	Professional		$1,122.02	$3,548.13	$3,981.07
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,737.80 / $6,456.54	Facility		$870.96	$1,737.80	$6,456.54
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,089.30 / $2,691.53	Professional		$1,548.82	$2,089.30	$2,691.53
Medica Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,778.28 / $13,182.57	Facility		$870.96	$1,778.28	$13,182.57
Medica Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,548.82 / $7,079.46	Professional		$891.25	$1,548.82	$7,079.46
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 / $2,951.21	Professional		$1,288.25	$1,949.84	$2,951.21
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 $1,548.82 / $4,168.69 / $7,079.46	Professional		$1,548.82	$4,168.69	$7,079.46
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $2,818.38 / $2,818.38	Professional		$2,818.38	$2,818.38	$2,818.38
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $4,786.30 / $5,495.41	Professional		$2,511.89	$4,786.30	$5,495.41
United Facility/Professional Facility Modifier Low / Median / High Price $7,585.78 / $12,022.64 / $16,218.10	Facility		$7,585.78	$12,022.64	$16,218.10
United Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,288.25 / $3,548.13	Professional		$851.14	$1,288.25	$3,548.13