Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $1,380.38 / $14,454.40	Facility		$645.65	$1,380.38	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $676.08 / $1,778.28	Professional		$602.56	$676.08	$1,778.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $8,128.31 / $13,489.63	Facility		$5,011.87	$8,128.31	$13,489.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $1,318.26 / $3,235.94	Professional		$645.65	$1,318.26	$3,235.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $1,995.26 / $3,235.94	Facility		$1,737.80	$1,995.26	$3,235.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $2,691.53 / $3,090.30	Professional		$851.14	$2,691.53	$3,090.30
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $1,348.96 / $10,000.00	Facility		$645.65	$1,348.96	$10,000.00
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,584.89 / $2,041.74	Professional		$1,174.90	$1,584.89	$2,041.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $1,380.38 / $15,135.61	Facility		$660.69	$1,380.38	$15,135.61
Medica Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $1,148.15 / $5,011.87	Professional		$676.08	$1,148.15	$5,011.87
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 $977.24 / $1,479.11 / $2,238.72	Professional		$977.24	$1,479.11	$2,238.72
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $4,168.69 / $4,168.69	Facility		$1,698.24	$4,168.69	$4,168.69
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $3,162.28 / $5,011.87	Professional		$1,174.90	$3,162.28	$5,011.87
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,137.96 / $2,137.96	Professional		$2,137.96	$2,137.96	$2,137.96
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $3,630.78 / $4,168.69	Professional		$1,905.46	$3,630.78	$4,168.69
United Facility/Professional Facility Modifier Low / Median / High Price $8,709.64 / $13,489.63 / $17,378.01	Facility		$8,709.64	$13,489.63	$17,378.01
United Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $977.24 / $2,691.53	Professional		$645.65	$977.24	$2,691.53