Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $1,047.13 / $14,454.40	Facility		$489.78	$1,047.13	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $512.86 / $1,288.25	Professional		$457.09	$512.86	$1,288.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $8,317.64 / $13,182.57	Facility		$5,011.87	$8,317.64	$13,182.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $977.24 / $2,454.71	Professional		$489.78	$977.24	$2,454.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,548.82 / $2,630.27	Facility		$1,348.96	$1,548.82	$2,630.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $2,089.30 / $2,344.23	Professional		$660.69	$2,089.30	$2,344.23
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $1,000.00 / $8,709.64	Facility		$467.74	$1,000.00	$8,709.64
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,230.27 / $1,584.89	Professional		$912.01	$1,230.27	$1,584.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $1,047.13 / $11,220.18	Facility		$489.78	$1,047.13	$11,220.18
Medica Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $831.76 / $3,801.89	Professional		$467.74	$831.76	$3,801.89
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 / $1,819.70	Professional		$776.25	$1,174.90	$1,819.70
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 $912.01 / $2,398.83 / $3,715.35	Professional		$912.01	$2,398.83	$3,715.35
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 $1,258.93 / $2,754.23 / $3,235.94	Professional		$1,258.93	$2,754.23	$3,235.94
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 $467.74 / $724.44 / $2,041.74	Professional		$467.74	$724.44	$2,041.74