Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $1,096.48 / $14,454.40	Facility		$691.83	$1,096.48	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $691.83 / $1,380.38	Professional		$501.19	$691.83	$1,380.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,882.50 / $18,197.01 / $30,199.52	Facility		$12,882.50	$18,197.01	$30,199.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $1,047.13 / $3,019.95	Professional		$549.54	$1,047.13	$3,019.95
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 $933.25 / $1,698.24 / $1,949.84	Professional		$933.25	$1,698.24	$1,949.84
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $7,762.47 / $14,454.40	Facility		$630.96	$7,762.47	$14,454.40
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,412.54 / $1,584.89	Professional		$1,148.15	$1,412.54	$1,584.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $3,388.44 / $9,549.93	Facility		$616.60	$3,388.44	$9,549.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $1,122.02 / $3,090.30	Professional		$676.08	$1,122.02	$3,090.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $70.79	Professional		$32.36	$33.11	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,174.90 / $1,737.80	Professional		$812.83	$1,174.90	$1,737.80
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,380.38 / $6,918.31	Facility		$1,380.38	$1,380.38	$6,918.31
Quartz Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $2,187.76 / $3,981.07	Professional		$933.25	$2,187.76	$3,981.07
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $2,818.38 / $2,818.38	Professional		$2,818.38	$2,818.38	$2,818.38
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $3,715.35 / $3,890.45	Professional		$2,884.03	$3,715.35	$3,890.45
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 $660.69 / $1,122.02 / $2,511.89	Professional		$660.69	$1,122.02	$2,511.89