Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,778.28 / $14,454.40	Facility		$851.14	$1,778.28	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $891.25 / $2,187.76	Professional		$812.83	$891.25	$2,187.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,022.64 / $16,982.44 / $28,840.32	Facility		$12,022.64	$16,982.44	$28,840.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,778.28 / $4,570.88	Professional		$851.14	$1,778.28	$4,570.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $2,630.27 / $4,466.84	Facility		$2,290.87	$2,630.27	$4,466.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $3,548.13 / $4,073.80	Professional		$1,122.02	$3,548.13	$4,073.80
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,778.28 / $8,709.64	Facility		$870.96	$1,778.28	$8,709.64
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,089.30 / $2,691.53	Professional		$1,548.82	$2,089.30	$2,691.53
Medica Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,862.09 / $16,595.87	Facility		$870.96	$1,862.09	$16,595.87
Medica Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,513.56 / $6,456.54	Professional		$870.96	$1,513.56	$6,456.54
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 $1,288.25 / $1,949.84 / $3,019.95	Professional		$1,288.25	$1,949.84	$3,019.95
Quartz Facility/Professional Facility Modifier Low / Median / High Price $18,197.01 / $33,884.42 / $50,118.72	Facility		$18,197.01	$33,884.42	$50,118.72
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $4,168.69 / $6,309.57	Professional		$1,548.82	$4,168.69	$6,309.57
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $2,818.38 / $2,818.38	Professional		$2,818.38	$2,818.38	$2,818.38
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $4,786.30 / $5,495.41	Professional		$2,511.89	$4,786.30	$5,495.41
United Facility/Professional Facility Modifier Low / Median / High Price $8,912.51 / $13,803.84 / $17,782.79	Facility		$8,912.51	$13,803.84	$17,782.79
United Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,288.25 / $3,548.13	Professional		$831.76	$1,288.25	$3,548.13