Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,548.82 / $14,454.40	Facility		$933.25	$1,548.82	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $933.25 / $1,905.46	Professional		$691.83	$933.25	$1,905.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $7,943.28 / $12,589.25	Facility		$5,011.87	$7,943.28	$12,589.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,445.44 / $4,073.80	Professional		$724.44	$1,445.44	$4,073.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $2,238.72 / $3,548.13	Facility		$1,905.46	$2,238.72	$3,548.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $2,344.23 / $3,019.95	Professional		$1,202.26	$2,344.23	$3,019.95
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $7,244.36 / $13,489.63	Facility		$870.96	$7,244.36	$13,489.63
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,995.26 / $2,290.87	Professional		$1,584.89	$1,995.26	$2,290.87
Medica Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $2,818.38 / $9,549.93	Facility		$851.14	$2,818.38	$9,549.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,621.81 / $6,760.83	Professional		$891.25	$1,621.81	$6,760.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,047.13	Professional		$32.36	$33.11	$1,047.13
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,995.26 / $3,162.28	Professional		$1,412.54	$1,995.26	$3,162.28
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $14,125.38 / $14,125.38	Facility		$1,905.46	$14,125.38	$14,125.38
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $3,630.78 / $8,511.38	Professional		$1,288.25	$3,630.78	$8,511.38
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,890.45 / $3,890.45 / $3,890.45	Professional		$3,890.45	$3,890.45	$3,890.45
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,548.13 / $5,128.61 / $5,128.61	Professional		$3,548.13	$5,128.61	$5,128.61
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 $870.96 / $1,548.82 / $3,311.31	Professional		$870.96	$1,548.82	$3,311.31