Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $6,456.54 / $6,456.54	Facility		$724.44	$6,456.54	$6,456.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $724.44 / $2,089.30	Professional		$660.69	$724.44	$2,089.30
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 $758.58 / $1,479.11 / $3,715.35	Professional		$758.58	$1,479.11	$3,715.35
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 $891.25 / $2,951.21 / $3,388.44	Professional		$891.25	$2,951.21	$3,388.44
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,148.15 / $5,495.41	Facility		$707.95	$1,148.15	$5,495.41
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,778.28 / $2,290.87	Professional		$1,318.26	$1,778.28	$2,290.87
Medica Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,445.44 / $8,317.64	Facility		$707.95	$1,445.44	$8,317.64
Medica Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,348.96 / $5,495.41	Professional		$758.58	$1,348.96	$5,495.41
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 $1,047.13 / $1,584.89 / $2,398.83	Professional		$1,047.13	$1,584.89	$2,398.83
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $6,025.60 / $8,912.51	Facility		$3,235.94	$6,025.60	$8,912.51
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $3,630.78 / $5,370.32	Professional		$1,318.26	$3,630.78	$5,370.32
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $2,398.83 / $2,398.83	Professional		$2,398.83	$2,398.83	$2,398.83
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $4,073.80 / $4,677.35	Professional		$2,137.96	$4,073.80	$4,677.35
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 $676.08 / $1,047.13 / $3,019.95	Professional		$676.08	$1,047.13	$3,019.95