Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $1,000.00 / $14,454.40	Facility		$602.56	$1,000.00	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $575.44 / $1,230.27	Professional		$436.52	$575.44	$1,230.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $4,570.88 / $7,079.46	Facility		$2,630.27	$4,570.88	$7,079.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $954.99 / $2,398.83	Professional		$446.68	$954.99	$2,398.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,548.82 / $2,454.71	Facility		$1,318.26	$1,548.82	$2,454.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $1,548.82 / $1,778.28	Professional		$676.08	$1,548.82	$1,778.28
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $3,019.95 / $5,370.32	Facility		$537.03	$3,019.95	$5,370.32
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,202.26 / $1,445.44	Professional		$870.96	$1,202.26	$1,445.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $3,235.94 / $6,165.95	Facility		$537.03	$3,235.94	$6,165.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $776.25 / $4,073.80	Professional		$457.09	$776.25	$4,073.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $602.56	Professional		$32.36	$33.11	$602.56
Quartz Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $1,148.15 / $1,737.80	Professional		$588.84	$1,148.15	$1,737.80
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $3,715.35 / $3,715.35	Facility		$2,511.89	$3,715.35	$3,715.35
Quartz Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $2,238.72 / $4,073.80	Professional		$660.69	$2,238.72	$4,073.80
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,202.26 / $1,202.26	Professional		$1,202.26	$1,202.26	$1,202.26
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $2,691.53 / $2,951.21	Professional		$1,000.00	$2,691.53	$2,951.21
United Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $3,801.89 / $6,456.54	Facility		$2,884.03	$3,801.89	$6,456.54
United Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $707.95 / $1,949.84	Professional		$426.58	$707.95	$1,949.84