Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $3,090.30 / $16,595.87	Facility		$478.63	$3,090.30	$16,595.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $707.95 / $1,905.46	Professional		$467.74	$707.95	$1,905.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $8,317.64 / $13,489.63	Facility		$5,011.87	$8,317.64	$13,489.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $1,096.48 / $2,691.53	Professional		$660.69	$1,096.48	$2,691.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $2,187.76 / $3,467.37	Facility		$1,862.09	$2,187.76	$3,467.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,905.46 / $3,311.31	Professional		$741.31	$1,905.46	$3,311.31
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $933.25 / $3,548.13	Facility		$537.03	$933.25	$3,548.13
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,318.26 / $1,995.26	Professional		$912.01	$1,318.26	$1,995.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $1,000.00 / $10,232.93	Facility		$549.54	$1,000.00	$10,232.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,479.11 / $5,248.07	Professional		$741.31	$1,479.11	$5,248.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $794.33	Professional		$32.36	$33.11	$794.33
Quartz Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,513.56 / $2,344.23	Professional		$891.25	$1,513.56	$2,344.23
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 Facility Modifier AS Low / Median / High Price $602.56 / $602.56 / $891.25	Facility	AS	$602.56	$602.56	$891.25
Quartz Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $3,548.13 / $5,011.87	Professional		$891.25	$3,548.13	$5,011.87
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $3,162.28 / $4,570.88	Professional		$1,202.26	$3,162.28	$4,570.88
United Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $10,232.93 / $12,589.25	Facility		$6,606.93	$10,232.93	$12,589.25
United Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $977.24 / $2,630.27	Professional		$602.56	$977.24	$2,630.27