Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $2,818.38 / $4,786.30	Facility		$295.12	$2,818.38	$4,786.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $562.34 / $4,466.84	Professional		$263.03	$562.34	$4,466.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $4,570.88 / $7,079.46	Facility		$2,630.27	$4,570.88	$7,079.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $602.56 / $3,019.95	Professional		$323.59	$602.56	$3,019.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $7,762.47 / $12,302.69	Facility		$6,606.93	$7,762.47	$12,302.69
Cigna Facility/Professional Facility Modifier 22 Low / Median / High Price $549.54 / $549.54 / $549.54	Facility	22	$549.54	$549.54	$549.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $1,122.02 / $10,000.00	Professional		$363.08	$1,122.02	$10,000.00
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $2,238.72 / $4,168.69	Facility		$269.15	$2,238.72	$4,168.69
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $1,096.48 / $6,309.57	Professional		$478.63	$1,096.48	$6,309.57
Medica Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $2,344.23 / $4,786.30	Facility		$281.84	$2,344.23	$4,786.30
Medica Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $4,786.30 / $17,782.79	Professional		$691.83	$4,786.30	$17,782.79
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 $426.58 / $2,884.03 / $8,709.64	Professional		$426.58	$2,884.03	$8,709.64
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $2,454.71 / $7,079.46	Facility		$2,454.71	$2,454.71	$7,079.46
Quartz Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $3,090.30 / $16,982.44	Professional		$288.40	$3,090.30	$16,982.44
Security Health Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $9,549.93 / $13,803.84	Professional		$977.24	$9,549.93	$13,803.84
United Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $3,630.78 / $6,456.54	Facility		$2,884.03	$3,630.78	$6,456.54
United Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $794.33 / $6,456.54	Professional		$295.12	$794.33	$6,456.54