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 $724.44 / $977.24 / $1,995.26	Professional		$724.44	$977.24	$1,995.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $10,964.78 / $18,197.01	Facility		$6,606.93	$10,964.78	$18,197.01
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 $1,995.26 / $2,290.87 / $3,715.35	Facility		$1,995.26	$2,290.87	$3,715.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $2,454.71 / $3,090.30	Professional		$1,288.25	$2,454.71	$3,090.30
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $7,244.36 / $13,489.63	Facility		$912.01	$7,244.36	$13,489.63
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,041.74 / $2,398.83	Professional		$1,659.59	$2,041.74	$2,398.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $2,818.38 / $9,549.93	Facility		$891.25	$2,818.38	$9,549.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,698.24 / $7,079.46	Professional		$977.24	$1,698.24	$7,079.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,288.25	Professional		$32.36	$33.11	$1,288.25
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,949.84 / $3,311.31	Professional		$1,380.38	$1,949.84	$3,311.31
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $10,232.93 / $10,232.93	Facility		$1,995.26	$10,232.93	$10,232.93
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $3,890.45 / $10,232.93	Professional		$1,348.96	$3,890.45	$10,232.93
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,073.80 / $4,073.80 / $4,073.80	Professional		$4,073.80	$4,073.80	$4,073.80
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,715.35 / $5,370.32 / $5,370.32	Professional		$3,715.35	$5,370.32	$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 / $1,621.81 / $3,548.13	Professional		$933.25	$1,621.81	$3,548.13