Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,659.59 / $14,454.40	Facility		$870.96	$1,659.59	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $870.96 / $1,659.59	Professional		$758.58	$870.96	$1,659.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,120.11 / $12,882.50 / $20,417.38	Facility		$9,120.11	$12,882.50	$20,417.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,479.11 / $3,801.89	Professional		$776.25	$1,479.11	$3,801.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $2,344.23 / $3,801.89	Facility		$1,995.26	$2,344.23	$3,801.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,819.70 / $3,311.31	Professional		$851.14	$1,819.70	$3,311.31
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,071.52 / $8,709.64	Facility		$794.33	$1,071.52	$8,709.64
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,737.80 / $2,691.53	Professional		$1,380.38	$1,737.80	$2,691.53
Medica Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,071.52 / $5,888.44	Facility		$794.33	$1,071.52	$5,888.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,348.96 / $5,888.44	Professional		$851.14	$1,348.96	$5,888.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $85.11	Professional		$32.36	$33.11	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,862.09 / $2,884.03	Professional		$1,023.29	$1,862.09	$2,884.03
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $2,041.74 / $7,585.78	Facility		$2,041.74	$2,041.74	$7,585.78
Quartz Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $2,754.23 / $5,888.44	Professional		$812.83	$2,754.23	$5,888.44
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $2,884.03 / $2,884.03	Professional		$2,884.03	$2,884.03	$2,884.03
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $3,090.30 / $3,890.45	Professional		$2,511.89	$3,090.30	$3,890.45
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 $776.25 / $1,148.15 / $3,019.95	Professional		$776.25	$1,148.15	$3,019.95