Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $1,584.89 / $6,456.54	Facility		$457.09	$1,584.89	$6,456.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $1,148.15 / $2,398.83	Professional		$389.05	$1,148.15	$2,398.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $8,317.64 / $13,182.57	Facility		$5,011.87	$8,317.64	$13,182.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $1,737.80 / $5,128.61	Professional		$630.96	$1,737.80	$5,128.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $3,801.89 / $6,025.60	Facility		$3,235.94	$3,801.89	$6,025.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,318.26 / $4,365.16	Professional		$691.83	$1,318.26	$4,365.16
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $2,454.71 / $5,754.40	Facility		$426.58	$2,454.71	$5,754.40
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,258.93 / $3,467.37	Professional		$870.96	$1,258.93	$3,467.37
Medica Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $3,981.07 / $11,481.54	Facility		$416.87	$3,981.07	$11,481.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $2,884.03 / $7,413.10	Professional		$1,445.44	$2,884.03	$7,413.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $50.12 / $1,778.28	Professional		$32.36	$50.12	$1,778.28
Quartz Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,584.89 / $4,677.35	Professional		$831.76	$1,584.89	$4,677.35
Quartz Facility/Professional Facility Modifier Low / Median / High Price $6,165.95 / $8,912.51 / $8,912.51	Facility		$6,165.95	$8,912.51	$8,912.51
Quartz Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $6,309.57 / $8,317.64	Professional		$691.83	$6,309.57	$8,317.64
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $1,905.46 / $6,760.83	Professional		$1,905.46	$1,905.46	$6,760.83
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,884.03 / $8,511.38	Professional		$1,737.80	$2,884.03	$8,511.38
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 $489.78 / $1,548.82 / $5,248.07	Professional		$489.78	$1,548.82	$5,248.07