Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $1,318.26 / $14,454.40	Facility		$602.56	$1,318.26	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $616.60 / $1,584.89	Professional		$562.34	$616.60	$1,584.89
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 $630.96 / $1,230.27 / $3,388.44	Professional		$630.96	$1,230.27	$3,388.44
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 $870.96 / $2,570.40 / $2,884.03	Professional		$870.96	$2,570.40	$2,884.03
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $1,258.93 / $5,495.41	Facility		$602.56	$1,258.93	$5,495.41
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,513.56 / $1,949.84	Professional		$1,122.02	$1,513.56	$1,949.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $1,318.26 / $8,317.64	Facility		$616.60	$1,318.26	$8,317.64
Medica Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $1,148.15 / $4,786.30	Professional		$660.69	$1,148.15	$4,786.30
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 $954.99 / $1,412.54 / $2,187.76	Professional		$954.99	$1,412.54	$2,187.76
Quartz Facility/Professional Facility Modifier Low / Median / High Price $16,982.44 / $25,118.86 / $25,118.86	Facility		$16,982.44	$25,118.86	$25,118.86
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $3,090.30 / $4,786.30	Professional		$1,122.02	$3,090.30	$4,786.30
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 $1,862.09 / $3,630.78 / $3,981.07	Professional		$1,862.09	$3,630.78	$3,981.07
United Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $7,413.10 / $9,120.11	Facility		$4,897.79	$7,413.10	$9,120.11
United Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $977.24 / $2,630.27	Professional		$645.65	$977.24	$2,630.27