Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $1,348.96 / $14,454.40	Facility		$645.65	$1,348.96	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $676.08 / $1,659.59	Professional		$602.56	$676.08	$1,659.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $4,786.30 / $7,585.78	Facility		$3,311.31	$4,786.30	$7,585.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $1,318.26 / $3,162.28	Professional		$630.96	$1,318.26	$3,162.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $1,995.26 / $3,162.28	Facility		$1,698.24	$1,995.26	$3,162.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $2,691.53 / $3,019.95	Professional		$831.76	$2,691.53	$3,019.95
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $1,318.26 / $10,000.00	Facility		$660.69	$1,318.26	$10,000.00
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,584.89 / $2,041.74	Professional		$1,174.90	$1,584.89	$2,041.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $1,348.96 / $11,220.18	Facility		$660.69	$1,348.96	$11,220.18
Medica Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $1,148.15 / $4,897.79	Professional		$630.96	$1,148.15	$4,897.79
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 $977.24 / $1,513.56 / $2,290.87	Professional		$977.24	$1,513.56	$2,290.87
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $4,786.30 / $4,786.30	Facility		$3,235.94	$4,786.30	$4,786.30
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $3,090.30 / $4,786.30	Professional		$1,174.90	$3,090.30	$4,786.30
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,137.96 / $2,137.96	Professional		$2,137.96	$2,137.96	$2,137.96
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $3,630.78 / $4,168.69	Professional		$1,862.09	$3,630.78	$4,168.69
United Facility/Professional Facility Modifier Low / Median / High Price $5,623.41 / $10,232.93 / $12,589.25	Facility		$5,623.41	$10,232.93	$12,589.25
United Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $954.99 / $2,691.53	Professional		$630.96	$954.99	$2,691.53