Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $1,479.11 / $14,454.40	Facility		$691.83	$1,479.11	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $724.44 / $1,819.70	Professional		$645.65	$724.44	$1,819.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $7,943.28 / $12,589.25	Facility		$5,011.87	$7,943.28	$12,589.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,445.44 / $3,467.37	Professional		$691.83	$1,445.44	$3,467.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $2,187.76 / $3,467.37	Facility		$1,862.09	$2,187.76	$3,467.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $2,884.03 / $3,311.31	Professional		$933.25	$2,884.03	$3,311.31
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,412.54 / $5,495.41	Facility		$707.95	$1,412.54	$5,495.41
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,698.24 / $2,187.76	Professional		$1,288.25	$1,698.24	$2,187.76
Medica Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,479.11 / $11,220.18	Facility		$724.44	$1,479.11	$11,220.18
Medica Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,318.26 / $5,248.07	Professional		$707.95	$1,318.26	$5,248.07
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 $1,071.52 / $1,621.81 / $2,454.71	Professional		$1,071.52	$1,621.81	$2,454.71
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 $1,258.93 / $3,388.44 / $5,248.07	Professional		$1,258.93	$3,388.44	$5,248.07
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $2,290.87 / $2,290.87	Professional		$2,290.87	$2,290.87	$2,290.87
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $3,890.45 / $4,570.88	Professional		$2,041.74	$3,890.45	$4,570.88
United Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $10,232.93 / $12,589.25	Facility		$6,606.93	$10,232.93	$12,589.25
United Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,047.13 / $2,951.21	Professional		$707.95	$1,047.13	$2,951.21