Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,445.44 / $14,454.40	Facility		$707.95	$1,445.44	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $724.44 / $1,737.80	Professional		$645.65	$724.44	$1,737.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $8,317.64 / $14,125.38	Facility		$5,011.87	$8,317.64	$14,125.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,348.96 / $3,467.37	Professional		$707.95	$1,348.96	$3,467.37
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 / $2,511.89	Professional		$1,000.00	$2,238.72	$2,511.89
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $6,918.31 / $13,489.63	Facility		$776.25	$6,918.31	$13,489.63
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,737.80 / $2,137.96	Professional		$1,258.93	$1,737.80	$2,137.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $2,818.38 / $7,943.28	Facility		$776.25	$2,818.38	$7,943.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,288.25 / $5,623.41	Professional		$741.31	$1,288.25	$5,623.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $933.25	Professional		$32.36	$33.11	$933.25
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 / $5,623.41 / $5,623.41	Facility		$1,819.70	$5,623.41	$5,623.41
Quartz Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $3,548.13 / $5,623.41	Professional		$954.99	$3,548.13	$5,623.41
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,715.35 / $3,715.35 / $3,715.35	Professional		$3,715.35	$3,715.35	$3,715.35
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $4,168.69 / $5,370.32	Professional		$2,290.87	$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 $691.83 / $1,148.15 / $3,090.30	Professional		$691.83	$1,148.15	$3,090.30