Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $1,071.52 / $14,454.40	Facility		$512.86	$1,071.52	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $537.03 / $1,412.54	Professional		$489.78	$537.03	$1,412.54
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 $512.86 / $1,071.52 / $2,884.03	Professional		$512.86	$1,071.52	$2,884.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,584.89 / $2,570.40	Facility		$1,380.38	$1,584.89	$2,570.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $2,137.96 / $2,454.71	Professional		$812.83	$2,137.96	$2,454.71
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $1,047.13 / $3,981.07	Facility		$512.86	$1,047.13	$3,981.07
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,258.93 / $1,621.81	Professional		$933.25	$1,258.93	$1,621.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $1,096.48 / $14,125.38	Facility		$512.86	$1,096.48	$14,125.38
Medica Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $1,071.52 / $6,309.57	Professional		$575.44	$1,071.52	$6,309.57
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 $776.25 / $1,202.26 / $1,819.70	Professional		$776.25	$1,202.26	$1,819.70
Quartz Facility/Professional Facility Modifier Low / Median / High Price $6,025.60 / $8,912.51 / $8,912.51	Facility		$6,025.60	$8,912.51	$8,912.51
Quartz Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $2,951.21 / $6,606.93	Professional		$954.99	$2,951.21	$6,606.93
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $1,698.24 / $1,698.24	Professional		$1,698.24	$1,698.24	$1,698.24
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,884.03 / $3,311.31	Professional		$1,513.56	$2,884.03	$3,311.31
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 $549.54 / $891.25 / $2,187.76	Professional		$549.54	$891.25	$2,187.76