Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,698.24 / $14,454.40	Facility		$776.25	$1,698.24	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $851.14 / $2,089.30	Professional		$758.58	$851.14	$2,089.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,120.11 / $12,882.50 / $22,387.21	Facility		$9,120.11	$12,882.50	$22,387.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,584.89 / $3,801.89	Professional		$812.83	$1,584.89	$3,801.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $2,454.71 / $3,890.45	Facility		$2,089.30	$2,454.71	$3,890.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $2,570.40 / $2,951.21	Professional		$1,318.26	$2,570.40	$2,951.21
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $6,918.31 / $13,489.63	Facility		$831.76	$6,918.31	$13,489.63
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $2,041.74 / $2,511.89	Professional		$1,445.44	$2,041.74	$2,511.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $2,691.53 / $7,943.28	Facility		$831.76	$2,691.53	$7,943.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,513.56 / $10,964.78	Professional		$870.96	$1,513.56	$10,964.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,148.15	Professional		$32.36	$33.11	$1,148.15
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $2,089.30 / $3,548.13	Professional		$1,071.52	$2,089.30	$3,548.13
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $12,589.25 / $12,589.25	Facility		$2,089.30	$12,589.25	$12,589.25
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $4,073.80 / $10,964.78	Professional		$1,412.54	$4,073.80	$10,964.78
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,265.80 / $4,265.80 / $4,265.80	Professional		$4,265.80	$4,265.80	$4,265.80
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,801.89 / $5,623.41 / $5,754.40	Professional		$3,801.89	$5,623.41	$5,754.40
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 $831.76 / $1,348.96 / $3,467.37	Professional		$831.76	$1,348.96	$3,467.37