Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $1,258.93 / $14,454.40	Facility		$602.56	$1,258.93	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $630.96 / $1,548.82	Professional		$562.34	$630.96	$1,548.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,585.78 / $15,135.61 / $26,302.68	Facility		$7,585.78	$15,135.61	$26,302.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $1,258.93 / $3,162.28	Professional		$588.84	$1,258.93	$3,162.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $1,862.09 / $3,162.28	Facility		$1,621.81	$1,862.09	$3,162.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $2,511.89 / $2,818.38	Professional		$776.25	$2,511.89	$2,818.38
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $1,202.26 / $10,000.00	Facility		$602.56	$1,202.26	$10,000.00
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 $616.60 / $1,258.93 / $11,481.54	Facility		$616.60	$1,258.93	$11,481.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $1,071.52 / $4,570.88	Professional		$588.84	$1,071.52	$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 $7,244.36 / $13,489.63 / $19,952.62	Facility		$7,244.36	$13,489.63	$19,952.62
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $2,884.03 / $4,466.84	Professional		$1,096.48	$2,884.03	$4,466.84
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 $1,737.80 / $3,388.44 / $3,890.45	Professional		$1,737.80	$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 $575.44 / $891.25 / $2,511.89	Professional		$575.44	$891.25	$2,511.89