Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $1,479.11 / $14,454.40	Facility		$691.83	$1,479.11	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $724.44 / $1,819.70	Professional		$645.65	$724.44	$1,819.70
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 $676.08 / $1,445.44 / $3,715.35	Professional		$676.08	$1,445.44	$3,715.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $2,187.76 / $3,630.78	Facility		$1,862.09	$2,187.76	$3,630.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $2,884.03 / $3,311.31	Professional		$912.01	$2,884.03	$3,311.31
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,412.54 / $3,981.07	Facility		$707.95	$1,412.54	$3,981.07
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,698.24 / $2,187.76	Professional		$1,258.93	$1,698.24	$2,187.76
Medica Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,479.11 / $8,317.64	Facility		$724.44	$1,479.11	$8,317.64
Medica Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,288.25 / $5,370.32	Professional		$707.95	$1,288.25	$5,370.32
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 $1,071.52 / $1,621.81 / $2,454.71	Professional		$1,071.52	$1,621.81	$2,454.71
Quartz Facility/Professional Facility Modifier Low / Median / High Price $9,120.11 / $16,982.44 / $25,118.86	Facility		$9,120.11	$16,982.44	$25,118.86
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $3,388.44 / $5,248.07	Professional		$1,258.93	$3,388.44	$5,248.07
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $2,290.87 / $2,290.87	Professional		$2,290.87	$2,290.87	$2,290.87
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $3,890.45 / $4,570.88	Professional		$2,041.74	$3,890.45	$4,570.88
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 $691.83 / $1,071.52 / $2,884.03	Professional		$691.83	$1,071.52	$2,884.03