Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $1,023.29 / $14,454.40	Facility		$489.78	$1,023.29	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $501.19 / $1,202.26	Professional		$436.52	$501.19	$1,202.26
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 $446.68 / $1,023.29 / $2,454.71	Professional		$446.68	$1,023.29	$2,454.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,548.82 / $2,630.27	Facility		$1,318.26	$1,548.82	$2,630.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $2,041.74 / $2,344.23	Professional		$645.65	$2,041.74	$2,344.23
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $891.25 / $3,981.07	Facility		$489.78	$891.25	$3,981.07
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,202.26 / $1,479.11	Professional		$891.25	$1,202.26	$1,479.11
Medica Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $1,023.29 / $8,317.64	Facility		$489.78	$1,023.29	$8,317.64
Medica Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $831.76 / $3,715.35	Professional		$457.09	$831.76	$3,715.35
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 $776.25 / $1,174.90 / $1,737.80	Professional		$776.25	$1,174.90	$1,737.80
Quartz Facility/Professional Facility Modifier Low / Median / High Price $12,589.25 / $23,442.29 / $34,673.69	Facility		$12,589.25	$23,442.29	$34,673.69
Quartz Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $2,238.72 / $3,630.78	Professional		$891.25	$2,238.72	$3,630.78
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,621.81 / $1,621.81	Professional		$1,621.81	$1,621.81	$1,621.81
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $2,691.53 / $3,235.94	Professional		$1,288.25	$2,691.53	$3,235.94
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 $457.09 / $676.08 / $1,905.46	Professional		$457.09	$676.08	$1,905.46