Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,479.11 / $14,454.40	Facility		$912.01	$1,479.11	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $912.01 / $1,862.09	Professional		$758.58	$912.01	$1,862.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $3,235.94 / $6,025.60	Facility		$2,398.83	$3,235.94	$6,025.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,412.54 / $4,570.88	Professional		$812.83	$1,412.54	$4,570.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $2,187.76 / $3,467.37	Facility		$1,862.09	$2,187.76	$3,467.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $2,290.87 / $2,884.03	Professional		$1,174.90	$2,290.87	$2,884.03
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $7,244.36 / $13,489.63	Facility		$851.14	$7,244.36	$13,489.63
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,905.46 / $2,238.72	Professional		$1,548.82	$1,905.46	$2,238.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $2,691.53 / $4,466.84	Facility		$851.14	$2,691.53	$4,466.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,819.70 / $7,413.10	Professional		$977.24	$1,819.70	$7,413.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,202.26	Professional		$32.36	$33.11	$1,202.26
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,819.70 / $3,090.30	Professional		$1,288.25	$1,819.70	$3,090.30
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $9,549.93 / $9,549.93	Facility		$2,089.30	$9,549.93	$9,549.93
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $4,073.80 / $7,413.10	Professional		$1,258.93	$4,073.80	$7,413.10
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,801.89 / $3,801.89 / $3,801.89	Professional		$3,801.89	$3,801.89	$3,801.89
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,073.80 / $5,011.87 / $5,754.40	Professional		$4,073.80	$5,011.87	$5,754.40
United Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $3,090.30 / $5,011.87	Facility		$2,398.83	$3,090.30	$5,011.87
United Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,659.59 / $3,715.35	Professional		$954.99	$1,659.59	$3,715.35