Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $933.25 / $14,454.40	Facility		$575.44	$933.25	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $575.44 / $1,047.13	Professional		$436.52	$575.44	$1,047.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,882.50 / $18,197.01 / $28,840.32	Facility		$12,882.50	$18,197.01	$28,840.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $891.25 / $2,570.40	Professional		$457.09	$891.25	$2,570.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,348.96 / $2,187.76	Facility		$1,148.15	$1,348.96	$2,187.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,445.44 / $1,621.81	Professional		$794.33	$1,445.44	$1,621.81
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $7,413.10 / $14,454.40	Facility		$524.81	$7,413.10	$14,454.40
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,202.26 / $1,412.54	Professional		$977.24	$1,202.26	$1,412.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $3,388.44 / $9,549.93	Facility		$524.81	$3,388.44	$9,549.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $954.99 / $2,570.40	Professional		$575.44	$954.99	$2,570.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $85.11	Professional		$32.36	$33.11	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,148.15 / $1,949.84	Professional		$812.83	$1,148.15	$1,949.84
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,174.90 / $8,511.38	Facility		$1,174.90	$1,174.90	$8,511.38
Quartz Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $2,290.87 / $3,388.44	Professional		$794.33	$2,290.87	$3,388.44
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $2,398.83 / $2,398.83	Professional		$2,398.83	$2,398.83	$2,398.83
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $3,162.28 / $3,630.78	Professional		$2,691.53	$3,162.28	$3,630.78
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 $549.54 / $933.25 / $2,089.30	Professional		$549.54	$933.25	$2,089.30