Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $616.60 / $17,782.79	Facility		$616.60	$616.60	$17,782.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $588.84 / $831.76	Professional		$407.38	$588.84	$831.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,120.11 / $12,302.69 / $20,892.96	Facility		$9,120.11	$12,302.69	$20,892.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $1,071.52 / $2,754.23	Professional		$562.34	$1,071.52	$2,754.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $4,365.16 / $7,079.46	Facility		$3,801.89	$4,365.16	$7,079.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $3,090.30 / $6,165.95	Professional		$602.56	$3,090.30	$6,165.95
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $831.76 / $8,709.64	Facility		$457.09	$831.76	$8,709.64
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $4,168.69 / $4,168.69 / $4,168.69	Professional		$4,168.69	$4,168.69	$4,168.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $1,148.15 / $13,182.57	Facility		$537.03	$1,148.15	$13,182.57
Medica Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $1,995.26 / $4,570.88	Professional		$478.63	$1,995.26	$4,570.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $50.12 / $85.11	Professional		$32.36	$50.12	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $1,148.15 / $1,698.24	Professional		$630.96	$1,148.15	$1,698.24
Quartz Facility/Professional Facility Modifier Low / Median / High Price $8,912.51 / $8,912.51 / $13,489.63	Facility		$8,912.51	$8,912.51	$13,489.63
Quartz Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $3,890.45 / $3,981.07	Professional		$562.34	$3,890.45	$3,981.07
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,248.07 / $5,248.07 / $5,248.07	Professional		$5,248.07	$5,248.07	$5,248.07
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,248.07 / $7,585.78 / $8,128.31	Professional		$5,248.07	$7,585.78	$8,128.31
United Facility/Professional Facility Modifier Low / Median / High Price $7,585.78 / $12,302.69 / $16,595.87	Facility		$7,585.78	$12,302.69	$16,595.87
United Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $1,548.82 / $5,011.87	Professional		$446.68	$1,548.82	$5,011.87