Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $1,288.25 / $14,454.40	Facility		$691.83	$1,288.25	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $691.83 / $1,230.27	Professional		$588.84	$691.83	$1,230.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,882.50 / $18,197.01 / $29,512.09	Facility		$12,882.50	$18,197.01	$29,512.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $1,174.90 / $3,090.30	Professional		$616.60	$1,174.90	$3,090.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $1,905.46 / $3,019.95	Facility		$1,621.81	$1,905.46	$3,019.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $1,412.54 / $2,630.27	Professional		$676.08	$1,412.54	$2,630.27
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $831.76 / $8,912.51	Facility		$630.96	$831.76	$8,912.51
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,380.38 / $2,137.96	Professional		$1,096.48	$1,380.38	$2,137.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $870.96 / $14,125.38	Facility		$630.96	$870.96	$14,125.38
Medica Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $1,047.13 / $4,786.30	Professional		$660.69	$1,047.13	$4,786.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $64.57	Professional		$32.36	$33.11	$64.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,479.11 / $2,290.87	Professional		$812.83	$1,479.11	$2,290.87
Quartz Facility/Professional Facility Modifier Low / Median / High Price $26,915.35 / $26,915.35 / $39,810.72	Facility		$26,915.35	$26,915.35	$39,810.72
Quartz Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $2,187.76 / $4,677.35	Professional		$645.65	$2,187.76	$4,677.35
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $2,290.87 / $2,290.87	Professional		$2,290.87	$2,290.87	$2,290.87
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,691.53 / $3,311.31	Professional		$1,995.26	$2,691.53	$3,311.31
United Facility/Professional Facility Modifier Low / Median / High Price $8,912.51 / $13,803.84 / $17,782.79	Facility		$8,912.51	$13,803.84	$17,782.79
United Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $891.25 / $2,398.83	Professional		$616.60	$891.25	$2,398.83