Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,949.84 / $14,454.40	Facility		$954.99	$1,949.84	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $977.24 / $2,344.23	Professional		$891.25	$977.24	$2,344.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $10,964.78 / $18,620.87	Facility		$6,606.93	$10,964.78	$18,620.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,819.70 / $4,570.88	Professional		$933.25	$1,819.70	$4,570.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $2,818.38 / $4,570.88	Facility		$2,454.71	$2,818.38	$4,570.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $3,019.95 / $3,388.44	Professional		$1,348.96	$3,019.95	$3,388.44
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $6,918.31 / $13,489.63	Facility		$1,047.13	$6,918.31	$13,489.63
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,344.23 / $2,884.03	Professional		$1,698.24	$2,344.23	$2,884.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $2,691.53 / $7,943.28	Facility		$1,047.13	$2,691.53	$7,943.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,698.24 / $7,079.46	Professional		$954.99	$1,698.24	$7,079.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,258.93	Professional		$32.36	$33.11	$1,258.93
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $2,137.96 / $3,715.35	Professional		$1,122.02	$2,137.96	$3,715.35
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $8,709.64 / $8,709.64	Facility		$2,454.71	$8,709.64	$8,709.64
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $4,677.35 / $7,079.46	Professional		$1,288.25	$4,677.35	$7,079.46
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,786.30 / $4,786.30 / $4,786.30	Professional		$4,786.30	$4,786.30	$4,786.30
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,365.16 / $5,623.41 / $6,918.31	Professional		$4,365.16	$5,623.41	$6,918.31
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 $912.01 / $1,548.82 / $4,073.80	Professional		$912.01	$1,548.82	$4,073.80