Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,412.54 / $5,248.07	Facility		$741.31	$1,412.54	$5,248.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $741.31 / $1,445.44	Professional		$630.96	$741.31	$1,445.44
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 $645.65 / $1,258.93 / $3,235.94	Professional		$645.65	$1,258.93	$3,235.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $1,995.26 / $3,235.94	Facility		$1,737.80	$1,995.26	$3,235.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,513.56 / $2,818.38	Professional		$724.44	$1,513.56	$2,818.38
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $891.25 / $8,128.31	Facility		$660.69	$891.25	$8,128.31
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,479.11 / $2,238.72	Professional		$1,202.26	$1,479.11	$2,238.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $933.25 / $5,888.44	Facility		$660.69	$933.25	$5,888.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,174.90 / $5,011.87	Professional		$691.83	$1,174.90	$5,011.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $70.79	Professional		$32.36	$33.11	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,584.89 / $2,454.71	Professional		$891.25	$1,584.89	$2,454.71
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $6,456.54 / $6,456.54	Facility		$1,778.28	$6,456.54	$6,456.54
Quartz Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $3,235.94 / $5,011.87	Professional		$707.95	$3,235.94	$5,011.87
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $2,454.71 / $2,454.71	Professional		$2,454.71	$2,454.71	$2,454.71
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,570.40 / $3,388.44	Professional		$1,862.09	$2,570.40	$3,388.44
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 $645.65 / $933.25 / $2,511.89	Professional		$645.65	$933.25	$2,511.89