Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $1,288.25 / $14,454.40	Facility		$602.56	$1,288.25	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $630.96 / $1,621.81	Professional		$562.34	$630.96	$1,621.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,715.19 / $15,135.61 / $26,302.68	Facility		$10,715.19	$15,135.61	$26,302.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $1,258.93 / $3,235.94	Professional		$602.56	$1,258.93	$3,235.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $1,905.46 / $3,019.95	Facility		$1,621.81	$1,905.46	$3,019.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $2,511.89 / $2,884.03	Professional		$1,148.15	$2,511.89	$2,884.03
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $1,230.27 / $5,495.41	Facility		$616.60	$1,230.27	$5,495.41
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,479.11 / $1,905.46	Professional		$1,096.48	$1,479.11	$1,905.46
Medica Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $1,288.25 / $11,481.54	Facility		$630.96	$1,288.25	$11,481.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $1,148.15 / $4,570.88	Professional		$616.60	$1,148.15	$4,570.88
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 $933.25 / $1,412.54 / $2,137.96	Professional		$933.25	$1,412.54	$2,137.96
Quartz Facility/Professional Facility Modifier Low / Median / High Price $13,489.63 / $19,952.62 / $19,952.62	Facility		$13,489.63	$19,952.62	$19,952.62
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $4,570.88 / $4,570.88	Professional		$2,951.21	$4,570.88	$4,570.88
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $1,995.26	Professional		$1,995.26	$1,995.26	$1,995.26
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $3,388.44 / $3,890.45	Professional		$1,778.28	$3,388.44	$3,890.45
United Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $10,232.93 / $14,454.40	Facility		$6,606.93	$10,232.93	$14,454.40
United Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $933.25 / $2,511.89	Professional		$616.60	$933.25	$2,511.89