Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $1,096.48 / $14,454.40	Facility		$645.65	$1,096.48	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $616.60 / $1,348.96	Professional		$489.78	$616.60	$1,348.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,585.78 / $12,882.50 / $21,877.62	Facility		$7,585.78	$12,882.50	$21,877.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $1,047.13 / $2,570.40	Professional		$524.81	$1,047.13	$2,570.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,621.81 / $2,570.40	Facility		$1,380.38	$1,621.81	$2,570.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,698.24 / $1,905.46	Professional		$776.25	$1,698.24	$1,905.46
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $3,090.30 / $5,370.32	Facility		$630.96	$3,090.30	$5,370.32
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,318.26 / $1,659.59	Professional		$954.99	$1,318.26	$1,659.59
Medica Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $7,244.36 / $13,803.84	Facility		$630.96	$7,244.36	$13,803.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $1,023.29 / $3,715.35	Professional		$549.54	$1,023.29	$3,715.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $741.31	Professional		$32.36	$33.11	$741.31
Quartz Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $1,174.90 / $1,995.26	Professional		$602.56	$1,174.90	$1,995.26
Quartz Facility/Professional Facility Modifier Low / Median / High Price $9,332.54 / $13,803.84 / $13,803.84	Facility		$9,332.54	$13,803.84	$13,803.84
Quartz Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $2,630.27 / $5,011.87	Professional		$724.44	$2,630.27	$5,011.87
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $1,318.26	Professional		$1,318.26	$1,318.26	$1,318.26
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $2,951.21 / $3,235.94	Professional		$1,230.27	$2,951.21	$3,235.94
United Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $10,232.93 / $14,454.40	Facility		$6,606.93	$10,232.93	$14,454.40
United Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $851.14 / $2,290.87	Professional		$512.86	$851.14	$2,290.87