Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,445.44 / $14,454.40	Facility		$870.96	$1,445.44	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $812.83 / $1,778.28	Professional		$630.96	$812.83	$1,778.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $7,943.28 / $13,182.57	Facility		$3,981.07	$7,943.28	$13,182.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,380.38 / $3,467.37	Professional		$691.83	$1,380.38	$3,467.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $2,187.76 / $3,467.37	Facility		$1,862.09	$2,187.76	$3,467.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $2,238.72 / $2,511.89	Professional		$977.24	$2,238.72	$2,511.89
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $3,019.95 / $5,370.32	Facility		$776.25	$3,019.95	$5,370.32
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,737.80 / $2,187.76	Professional		$1,258.93	$1,737.80	$2,187.76
Medica Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $3,019.95 / $6,165.95	Facility		$776.25	$3,019.95	$6,165.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,202.26 / $5,248.07	Professional		$724.44	$1,202.26	$5,248.07
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 $831.76 / $1,621.81 / $2,818.38	Professional		$831.76	$1,621.81	$2,818.38
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $5,623.41 / $5,623.41	Facility		$1,819.70	$5,623.41	$5,623.41
Quartz Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $3,467.37 / $5,128.61	Professional		$954.99	$3,467.37	$5,128.61
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $1,737.80 / $1,737.80	Professional		$1,737.80	$1,737.80	$1,737.80
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $3,981.07 / $4,265.80	Professional		$1,819.70	$3,981.07	$4,265.80
United Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $3,630.78 / $6,456.54	Facility		$2,754.23	$3,630.78	$6,456.54
United Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $1,071.52 / $3,019.95	Professional		$645.65	$1,071.52	$3,019.95