Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $11,220.18 / $13,803.84	Facility		$776.25	$11,220.18	$13,803.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $870.96 / $2,884.03	Professional		$630.96	$870.96	$2,884.03
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 $616.60 / $1,174.90 / $3,467.37	Professional		$616.60	$1,174.90	$3,467.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $1,819.70 / $2,951.21	Facility		$1,584.89	$1,819.70	$2,951.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,949.84 / $2,187.76	Professional		$977.24	$1,949.84	$2,187.76
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $4,168.69 / $7,413.10	Facility		$707.95	$4,168.69	$7,413.10
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,621.81 / $1,862.09	Professional		$1,318.26	$1,621.81	$1,862.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $7,079.46 / $12,302.69	Facility		$707.95	$7,079.46	$12,302.69
Medica Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,348.96 / $4,677.35	Professional		$741.31	$1,348.96	$4,677.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $933.25	Professional		$32.36	$33.11	$933.25
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,513.56 / $2,630.27	Professional		$1,071.52	$1,513.56	$2,630.27
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 Facility Modifier AS Low / Median / High Price $616.60 / $616.60 / $891.25	Facility	AS	$616.60	$616.60	$891.25
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $3,090.30 / $4,570.88	Professional		$1,148.15	$3,090.30	$4,570.88
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $4,265.80 / $4,365.16	Professional		$2,691.53	$4,265.80	$4,365.16
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 $691.83 / $1,258.93 / $2,818.38	Professional		$691.83	$1,258.93	$2,818.38