Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,412.54 / $14,454.40	Facility		$870.96	$1,412.54	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $870.96 / $1,737.80	Professional		$645.65	$870.96	$1,737.80
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 $676.08 / $1,318.26 / $3,801.89	Professional		$676.08	$1,318.26	$3,801.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $2,041.74 / $3,235.94	Facility		$1,737.80	$2,041.74	$3,235.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $2,137.96 / $2,754.23	Professional		$1,174.90	$2,137.96	$2,754.23
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $7,244.36 / $13,489.63	Facility		$776.25	$7,244.36	$13,489.63
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,778.28 / $2,089.30	Professional		$1,445.44	$1,778.28	$2,089.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $7,244.36 / $12,302.69	Facility		$794.33	$7,244.36	$12,302.69
Medica Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,513.56 / $5,248.07	Professional		$851.14	$1,513.56	$5,248.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,071.52	Professional		$32.36	$33.11	$1,071.52
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,737.80 / $2,951.21	Professional		$1,202.26	$1,737.80	$2,951.21
Quartz Facility/Professional Facility Modifier Low / Median / High Price $5,248.07 / $8,912.51 / $8,912.51	Facility		$5,248.07	$8,912.51	$8,912.51
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $3,467.37 / $5,128.61	Professional		$1,288.25	$3,467.37	$5,128.61
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,548.13 / $3,548.13 / $3,548.13	Professional		$3,548.13	$3,548.13	$3,548.13
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,311.31 / $4,677.35 / $4,786.30	Professional		$3,311.31	$4,677.35	$4,786.30
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 $831.76 / $1,445.44 / $3,090.30	Professional		$831.76	$1,445.44	$3,090.30