Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,445.44 / $14,454.40	Facility		$741.31	$1,445.44	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $758.58 / $1,778.28	Professional		$676.08	$758.58	$1,778.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $10,964.78 / $19,054.61	Facility		$6,606.93	$10,964.78	$19,054.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,380.38 / $3,388.44	Professional		$707.95	$1,380.38	$3,388.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $2,137.96 / $3,388.44	Facility		$1,819.70	$2,137.96	$3,388.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $2,238.72 / $2,570.40	Professional		$1,000.00	$2,238.72	$2,570.40
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $3,019.95 / $5,370.32	Facility		$776.25	$3,019.95	$5,370.32
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,737.80 / $2,187.76	Professional		$1,258.93	$1,737.80	$2,187.76
Medica Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $2,691.53 / $7,943.28	Facility		$776.25	$2,691.53	$7,943.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,288.25 / $5,888.44	Professional		$741.31	$1,288.25	$5,888.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $977.24	Professional		$32.36	$33.11	$977.24
Quartz Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,621.81 / $2,754.23	Professional		$831.76	$1,621.81	$2,754.23
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $6,456.54 / $6,456.54	Facility		$1,819.70	$6,456.54	$6,456.54
Quartz Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $3,548.13 / $5,888.44	Professional		$954.99	$3,548.13	$5,888.44
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,630.78 / $3,630.78 / $3,630.78	Professional		$3,630.78	$3,630.78	$3,630.78
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,388.44 / $4,168.69 / $5,370.32	Professional		$3,388.44	$4,168.69	$5,370.32
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 $707.95 / $1,122.02 / $3,090.30	Professional		$707.95	$1,122.02	$3,090.30