Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,584.89 / $14,454.40	Facility		$977.24	$1,584.89	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $977.24 / $1,949.84	Professional		$707.95	$977.24	$1,949.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,882.50 / $18,197.01 / $29,512.09	Facility		$12,882.50	$18,197.01	$29,512.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,479.11 / $4,365.16	Professional		$776.25	$1,479.11	$4,365.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $2,290.87 / $3,630.78	Facility		$1,949.84	$2,290.87	$3,630.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $2,398.83 / $2,754.23	Professional		$1,318.26	$2,398.83	$2,754.23
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $7,413.10 / $14,454.40	Facility		$891.25	$7,413.10	$14,454.40
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,995.26 / $2,344.23	Professional		$1,621.81	$1,995.26	$2,344.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $3,388.44 / $9,549.93	Facility		$891.25	$3,388.44	$9,549.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $2,344.23 / $4,570.88	Professional		$954.99	$2,344.23	$4,570.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,096.48	Professional		$32.36	$33.11	$1,096.48
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,949.84 / $3,235.94	Professional		$1,348.96	$1,949.84	$3,235.94
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $1,949.84 / $19,054.61	Facility		$1,949.84	$1,949.84	$19,054.61
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $4,365.16 / $5,623.41	Professional		$1,318.26	$4,365.16	$5,623.41
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,981.07 / $3,981.07 / $3,981.07	Professional		$3,981.07	$3,981.07	$3,981.07
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,630.78 / $5,248.07 / $5,370.32	Professional		$3,630.78	$5,248.07	$5,370.32
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 $933.25 / $1,949.84 / $3,630.78	Professional		$933.25	$1,949.84	$3,630.78