Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,288.25 / $14,454.40	Facility		$794.33	$1,288.25	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $794.33 / $1,621.81	Professional		$549.54	$794.33	$1,621.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $10,964.78 / $17,378.01	Facility		$6,606.93	$10,964.78	$17,378.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $1,202.26 / $3,388.44	Professional		$616.60	$1,202.26	$3,388.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $1,905.46 / $3,090.30	Facility		$1,621.81	$1,905.46	$3,090.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,995.26 / $2,290.87	Professional		$1,023.29	$1,995.26	$2,290.87
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $3,090.30 / $5,370.32	Facility		$741.31	$3,090.30	$5,370.32
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,659.59 / $1,949.84	Professional		$1,348.96	$1,659.59	$1,949.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $10,232.93 / $16,595.87	Facility		$741.31	$10,232.93	$16,595.87
Medica Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,258.93 / $5,248.07	Professional		$741.31	$1,258.93	$5,248.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $831.76	Professional		$32.36	$33.11	$831.76
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,621.81 / $2,691.53	Professional		$1,148.15	$1,621.81	$2,691.53
Quartz Facility/Professional Facility Modifier Low / Median / High Price $11,481.54 / $16,982.44 / $16,982.44	Facility		$11,481.54	$16,982.44	$16,982.44
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $3,090.30 / $5,248.07	Professional		$1,096.48	$3,090.30	$5,248.07
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,235.94 / $3,235.94 / $3,235.94	Professional		$3,235.94	$3,235.94	$3,235.94
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $4,365.16 / $4,365.16	Professional		$2,884.03	$4,365.16	$4,365.16
United Facility/Professional Facility Modifier Low / Median / High Price $8,912.51 / $13,803.84 / $17,378.01	Facility		$8,912.51	$13,803.84	$17,378.01
United Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $1,258.93 / $2,818.38	Professional		$676.08	$1,258.93	$2,818.38