Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,513.56 / $14,454.40	Facility		$707.95	$1,513.56	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $758.58 / $1,862.09	Professional		$676.08	$758.58	$1,862.09
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 $707.95 / $1,412.54 / $3,548.13	Professional		$707.95	$1,412.54	$3,548.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $2,238.72 / $3,548.13	Facility		$1,905.46	$2,238.72	$3,548.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $2,951.21 / $3,388.44	Professional		$933.25	$2,951.21	$3,388.44
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,513.56 / $6,456.54	Facility		$724.44	$1,513.56	$6,456.54
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,737.80 / $2,238.72	Professional		$1,318.26	$1,737.80	$2,238.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,584.89 / $11,481.54	Facility		$741.31	$1,584.89	$11,481.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,348.96 / $6,309.57	Professional		$741.31	$1,348.96	$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 $1,096.48 / $1,659.59 / $2,511.89	Professional		$1,096.48	$1,659.59	$2,511.89
Quartz Facility/Professional Facility Modifier Low / Median / High Price $17,378.01 / $26,302.68 / $26,302.68	Facility		$17,378.01	$26,302.68	$26,302.68
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $3,467.37 / $6,309.57	Professional		$1,288.25	$3,467.37	$6,309.57
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $2,344.23 / $2,344.23	Professional		$2,344.23	$2,344.23	$2,344.23
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $3,981.07 / $4,677.35	Professional		$2,089.30	$3,981.07	$4,677.35
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 $724.44 / $1,096.48 / $3,019.95	Professional		$724.44	$1,096.48	$3,019.95