Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,318.26 / $14,454.40	Facility		$812.83	$1,318.26	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $812.83 / $1,659.59	Professional		$645.65	$812.83	$1,659.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $8,317.64 / $14,125.38	Facility		$5,011.87	$8,317.64	$14,125.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,230.27 / $3,801.89	Professional		$691.83	$1,230.27	$3,801.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $1,905.46 / $3,019.95	Facility		$1,621.81	$1,905.46	$3,019.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $2,041.74 / $2,570.40	Professional		$1,071.52	$2,041.74	$2,570.40
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $7,244.36 / $13,489.63	Facility		$758.58	$7,244.36	$13,489.63
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,698.24 / $1,995.26	Professional		$1,380.38	$1,698.24	$1,995.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $7,244.36 / $12,302.69	Facility		$758.58	$7,244.36	$12,302.69
Medica Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,479.11 / $4,897.79	Professional		$851.14	$1,479.11	$4,897.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,000.00	Professional		$32.36	$33.11	$1,000.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,621.81 / $2,754.23	Professional		$1,148.15	$1,621.81	$2,754.23
Quartz Facility/Professional Facility Modifier Low / Median / High Price $5,248.07 / $7,943.28 / $7,943.28	Facility		$5,248.07	$7,943.28	$7,943.28
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $3,467.37 / $4,786.30	Professional		$1,122.02	$3,467.37	$4,786.30
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,311.31 / $3,311.31 / $3,311.31	Professional		$3,311.31	$3,311.31	$3,311.31
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,235.94 / $4,466.84 / $4,786.30	Professional		$3,235.94	$4,466.84	$4,786.30
United Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $10,232.93 / $12,589.25	Facility		$6,606.93	$10,232.93	$12,589.25
United Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,380.38 / $3,162.28	Professional		$831.76	$1,380.38	$3,162.28