Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $776.25 / $14,454.40	Facility		$489.78	$776.25	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $489.78 / $977.24	Professional		$363.08	$489.78	$977.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,000.00 / $13,803.84 / $22,387.21	Facility		$10,000.00	$13,803.84	$22,387.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $741.31 / $2,137.96	Professional		$389.05	$741.31	$2,137.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,148.15 / $1,819.70	Facility		$977.24	$1,148.15	$1,819.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $1,202.26 / $1,380.38	Professional		$616.60	$1,202.26	$1,380.38
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $7,413.10 / $14,454.40	Facility		$446.68	$7,413.10	$14,454.40
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,000.00 / $1,174.90	Professional		$812.83	$1,000.00	$1,174.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $3,388.44 / $9,549.93	Facility		$446.68	$3,388.44	$9,549.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $851.14 / $2,187.76	Professional		$478.63	$851.14	$2,187.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $575.44	Professional		$32.36	$33.11	$575.44
Quartz Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $954.99 / $1,380.38	Professional		$616.60	$954.99	$1,380.38
Quartz Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $977.24 / $2,511.89	Facility		$977.24	$977.24	$2,511.89
Quartz Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $1,949.84 / $4,073.80	Professional		$660.69	$1,949.84	$4,073.80
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $1,995.26	Professional		$1,995.26	$1,995.26	$1,995.26
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,630.27 / $2,691.53	Professional		$1,862.09	$2,630.27	$2,691.53
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 $467.74 / $794.33 / $1,778.28	Professional		$467.74	$794.33	$1,778.28