Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,819.70 / $14,454.40	Facility		$891.25	$1,819.70	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $891.25 / $2,187.76	Professional		$812.83	$891.25	$2,187.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $8,128.31 / $13,489.63	Facility		$5,011.87	$8,128.31	$13,489.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,659.59 / $4,265.80	Professional		$870.96	$1,659.59	$4,265.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $2,630.27 / $4,265.80	Facility		$2,290.87	$2,630.27	$4,265.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $2,818.38 / $3,162.28	Professional		$1,258.93	$2,818.38	$3,162.28
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $6,918.31 / $13,489.63	Facility		$954.99	$6,918.31	$13,489.63
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,187.76 / $2,691.53	Professional		$1,548.82	$2,187.76	$2,691.53
Medica Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $2,691.53 / $7,943.28	Facility		$954.99	$2,691.53	$7,943.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,621.81 / $6,606.93	Professional		$891.25	$1,621.81	$6,606.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,174.90	Professional		$32.36	$33.11	$1,174.90
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,995.26 / $3,467.37	Professional		$1,023.29	$1,995.26	$3,467.37
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $7,079.46 / $7,079.46	Facility		$2,238.72	$7,079.46	$7,079.46
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $4,265.80 / $6,456.54	Professional		$1,202.26	$4,265.80	$6,456.54
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,466.84 / $4,466.84 / $4,466.84	Professional		$4,466.84	$4,466.84	$4,466.84
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,168.69 / $5,128.61 / $6,456.54	Professional		$4,168.69	$5,128.61	$6,456.54
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 $851.14 / $1,445.44 / $3,801.89	Professional		$851.14	$1,445.44	$3,801.89