Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,698.24 / $14,454.40	Facility		$891.25	$1,698.24	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $912.01 / $1,698.24	Professional		$758.58	$912.01	$1,698.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $8,317.64 / $13,803.84	Facility		$5,011.87	$8,317.64	$13,803.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,548.82 / $3,981.07	Professional		$794.33	$1,548.82	$3,981.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $2,454.71 / $3,890.45	Facility		$2,089.30	$2,454.71	$3,890.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,819.70 / $3,388.44	Professional		$851.14	$1,819.70	$3,388.44
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,047.13 / $8,128.31	Facility		$794.33	$1,047.13	$8,128.31
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,778.28 / $2,754.23	Professional		$1,412.54	$1,778.28	$2,754.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,096.48 / $5,754.40	Facility		$794.33	$1,096.48	$5,754.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,412.54 / $6,165.95	Professional		$812.83	$1,412.54	$6,165.95
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 $1,047.13 / $1,905.46 / $2,951.21	Professional		$1,047.13	$1,905.46	$2,951.21
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $7,762.47 / $7,762.47	Facility		$2,089.30	$7,762.47	$7,762.47
Quartz Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $3,981.07 / $6,025.60	Professional		$831.76	$3,981.07	$6,025.60
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $3,019.95 / $3,019.95	Professional		$3,019.95	$3,019.95	$3,019.95
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $3,162.28 / $4,073.80	Professional		$1,621.81	$3,162.28	$4,073.80
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 $794.33 / $1,148.15 / $3,090.30	Professional		$794.33	$1,148.15	$3,090.30