Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $1,778.28 / $14,454.40	Facility		$831.76	$1,778.28	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $870.96 / $2,238.72	Professional		$776.25	$870.96	$2,238.72
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 $831.76 / $1,737.80 / $4,168.69	Professional		$831.76	$1,737.80	$4,168.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $2,570.40 / $4,168.69	Facility		$2,238.72	$2,570.40	$4,168.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $3,467.37 / $3,981.07	Professional		$1,174.90	$3,467.37	$3,981.07
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $1,778.28 / $10,000.00	Facility		$831.76	$1,778.28	$10,000.00
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,041.74 / $2,630.27	Professional		$1,513.56	$2,041.74	$2,630.27
Medica Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,778.28 / $15,135.61	Facility		$851.14	$1,778.28	$15,135.61
Medica Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,479.11 / $7,244.36	Professional		$851.14	$1,479.11	$7,244.36
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 / $2,951.21	Professional		$1,258.93	$1,905.46	$2,951.21
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $8,912.51 / $8,912.51	Facility		$2,187.76	$8,912.51	$8,912.51
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $4,073.80 / $7,244.36	Professional		$1,513.56	$4,073.80	$7,244.36
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $2,754.23 / $2,754.23	Professional		$2,754.23	$2,754.23	$2,754.23
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $4,677.35 / $5,370.32	Professional		$2,344.23	$4,677.35	$5,370.32
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 $831.76 / $1,258.93 / $3,548.13	Professional		$831.76	$1,258.93	$3,548.13