Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $1,230.27 / $14,454.40	Facility		$602.56	$1,230.27	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $616.60 / $1,479.11	Professional		$562.34	$616.60	$1,479.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,165.95 / $10,232.93 / $17,378.01	Facility		$6,165.95	$10,232.93	$17,378.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $1,148.15 / $2,754.23	Professional		$602.56	$1,148.15	$2,754.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $1,778.28 / $2,818.38	Facility		$1,513.56	$1,778.28	$2,818.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,905.46 / $2,137.96	Professional		$891.25	$1,905.46	$2,137.96
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $2,454.71 / $4,786.30	Facility		$602.56	$2,454.71	$4,786.30
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,479.11 / $1,819.70	Professional		$1,047.13	$1,479.11	$1,819.70
Medica Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $3,235.94 / $6,309.57	Facility		$602.56	$3,235.94	$6,309.57
Medica Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $1,096.48 / $4,466.84	Professional		$616.60	$1,096.48	$4,466.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $812.83	Professional		$32.36	$33.11	$812.83
Quartz Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,348.96 / $2,290.87	Professional		$691.83	$1,348.96	$2,290.87
Quartz Facility/Professional Facility Modifier Low / Median / High Price $9,772.37 / $14,454.40 / $14,454.40	Facility		$9,772.37	$14,454.40	$14,454.40
Quartz Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $2,951.21 / $4,365.16	Professional		$812.83	$2,951.21	$4,365.16
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,090.30 / $3,090.30 / $3,090.30	Professional		$3,090.30	$3,090.30	$3,090.30
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $3,548.13 / $4,466.84	Professional		$2,818.38	$3,548.13	$4,466.84
United Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $3,801.89 / $6,606.93	Facility		$2,884.03	$3,801.89	$6,606.93
United Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $977.24 / $2,570.40	Professional		$588.84	$977.24	$2,570.40