Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,445.44 / $14,454.40	Facility		$851.14	$1,445.44	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $851.14 / $1,778.28	Professional		$645.65	$851.14	$1,778.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,120.11 / $12,882.50 / $22,908.68	Facility		$9,120.11	$12,882.50	$22,908.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $1,348.96 / $3,311.31	Professional		$676.08	$1,348.96	$3,311.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $2,137.96 / $3,388.44	Facility		$1,819.70	$2,137.96	$3,388.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $2,187.76 / $2,511.89	Professional		$1,148.15	$2,187.76	$2,511.89
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $6,918.31 / $13,489.63	Facility		$776.25	$6,918.31	$13,489.63
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 / $2,691.53 / $7,943.28	Facility		$776.25	$2,691.53	$7,943.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,258.93 / $5,248.07	Professional		$724.44	$1,258.93	$5,248.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $954.99	Professional		$32.36	$33.11	$954.99
Quartz Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,819.70 / $2,754.23	Professional		$954.99	$1,819.70	$2,754.23
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $13,182.57 / $13,182.57	Facility		$1,819.70	$13,182.57	$13,182.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $3,388.44 / $5,128.61	Professional		$1,230.27	$3,388.44	$5,128.61
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $1,698.24 / $1,698.24	Professional		$1,698.24	$1,698.24	$1,698.24
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $3,890.45 / $4,168.69	Professional		$1,584.89	$3,890.45	$4,168.69
United Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $6,165.95 / $19,498.45	Facility		$2,290.87	$6,165.95	$19,498.45
United Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $1,096.48 / $3,019.95	Professional		$676.08	$1,096.48	$3,019.95