Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $1,174.90 / $14,454.40	Facility		$575.44	$1,174.90	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $588.84 / $1,412.54	Professional		$537.03	$588.84	$1,412.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $16,982.44 / $29,512.09	Facility		$3,162.28	$16,982.44	$29,512.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $1,096.48 / $2,754.23	Professional		$575.44	$1,096.48	$2,754.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $1,698.24 / $2,754.23	Facility		$1,479.11	$1,698.24	$2,754.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,819.70 / $2,041.74	Professional		$851.14	$1,819.70	$2,041.74
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $2,454.71 / $4,786.30	Facility		$630.96	$2,454.71	$4,786.30
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,412.54 / $1,737.80	Professional		$1,023.29	$1,412.54	$1,737.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $2,691.53 / $4,786.30	Facility		$630.96	$2,691.53	$4,786.30
Medica Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $1,047.13 / $4,265.80	Professional		$588.84	$1,047.13	$4,265.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $776.25	Professional		$32.36	$33.11	$776.25
Quartz Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $1,288.25 / $2,238.72	Professional		$660.69	$1,288.25	$2,238.72
Quartz Facility/Professional Facility Modifier Low / Median / High Price $18,197.01 / $26,915.35 / $26,915.35	Facility		$18,197.01	$26,915.35	$26,915.35
Quartz Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $2,818.38 / $4,168.69	Professional		$776.25	$2,818.38	$4,168.69
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $2,951.21 / $2,951.21	Professional		$2,951.21	$2,951.21	$2,951.21
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $3,388.44 / $4,168.69	Professional		$2,691.53	$3,388.44	$4,168.69
United Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $2,884.03 / $5,011.87	Facility		$2,344.23	$2,884.03	$5,011.87
United Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $933.25 / $2,454.71	Professional		$562.34	$933.25	$2,454.71