Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $1,023.29 / $14,454.40	Facility		$537.03	$1,023.29	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $537.03 / $933.25	Professional		$446.68	$537.03	$933.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $4,897.79 / $8,709.64	Facility		$3,311.31	$4,897.79	$8,709.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $933.25 / $2,398.83	Professional		$467.74	$933.25	$2,398.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,513.56 / $2,398.83	Facility		$1,288.25	$1,513.56	$2,398.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $1,096.48 / $2,089.30	Professional		$512.86	$1,096.48	$2,089.30
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $630.96 / $3,162.28	Facility		$467.74	$630.96	$3,162.28
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,071.52 / $1,548.82	Professional		$870.96	$1,071.52	$1,548.82
Medica Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $676.08 / $10,471.29	Facility		$467.74	$676.08	$10,471.29
Medica Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $758.58 / $3,715.35	Professional		$478.63	$758.58	$3,715.35
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 $660.69 / $1,202.26 / $1,862.09	Professional		$660.69	$1,202.26	$1,862.09
Quartz Facility/Professional Facility Modifier Low / Median / High Price $5,370.32 / $5,370.32 / $7,943.28	Facility		$5,370.32	$5,370.32	$7,943.28
Quartz Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $1,862.09 / $3,630.78	Professional		$478.63	$1,862.09	$3,630.78
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $1,819.70	Professional		$1,819.70	$1,819.70	$1,819.70
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,819.70 / $2,454.71	Professional		$1,479.11	$1,819.70	$2,454.71
United Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $10,232.93 / $12,589.25	Facility		$6,606.93	$10,232.93	$12,589.25
United Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $660.69 / $1,819.70	Professional		$467.74	$660.69	$1,819.70