Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.87 / $954.99 / $2,454.71	Facility		$0.87	$954.99	$2,454.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $851.14 / $1,479.11	Professional		$645.65	$851.14	$1,479.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,165.95 / $10,232.93 / $17,378.01	Facility		$6,165.95	$10,232.93	$17,378.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,445.44 / $3,890.45	Professional		$794.33	$1,445.44	$3,890.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $2,691.53 / $4,265.80	Facility		$2,290.87	$2,691.53	$4,265.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,412.54 / $3,467.37	Professional		$724.44	$1,412.54	$3,467.37
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $912.01 / $4,265.80	Facility		$660.69	$912.01	$4,265.80
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,659.59 / $2,511.89	Professional		$1,202.26	$1,659.59	$2,511.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $912.01 / $5,623.41	Facility		$660.69	$912.01	$5,623.41
Medica Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,949.84 / $6,456.54	Professional		$851.14	$1,949.84	$6,456.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,096.48	Professional		$32.36	$33.11	$1,096.48
Quartz Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,737.80 / $2,884.03	Professional		$954.99	$1,737.80	$2,884.03
Quartz Facility/Professional Facility Modifier Low / Median / High Price $11,220.18 / $16,595.87 / $16,595.87	Facility		$11,220.18	$16,595.87	$16,595.87
Quartz Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,778.28 / $6,165.95	Professional		$691.83	$1,778.28	$6,165.95
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $2,454.71 / $3,162.28	Professional		$2,454.71	$2,454.71	$3,162.28
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $3,162.28 / $4,365.16	Professional		$2,454.71	$3,162.28	$4,365.16
United Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $7,413.10 / $9,120.11	Facility		$4,897.79	$7,413.10	$9,120.11
United Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,047.13 / $2,818.38	Professional		$691.83	$1,047.13	$2,818.38