Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,584.89 / $14,454.40	Facility		$794.33	$1,584.89	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $794.33 / $1,949.84	Professional		$741.31	$794.33	$1,949.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $7,943.28 / $12,589.25	Facility		$5,011.87	$7,943.28	$12,589.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,479.11 / $3,715.35	Professional		$758.58	$1,479.11	$3,715.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $2,344.23 / $3,715.35	Facility		$1,995.26	$2,344.23	$3,715.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $2,454.71 / $2,818.38	Professional		$1,122.02	$2,454.71	$2,818.38
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $6,760.83 / $13,489.63	Facility		$851.14	$6,760.83	$13,489.63
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,905.46 / $2,398.83	Professional		$1,380.38	$1,905.46	$2,398.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $5,495.41 / $8,709.64	Facility		$851.14	$5,495.41	$8,709.64
Medica Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,380.38 / $9,772.37	Professional		$776.25	$1,380.38	$9,772.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,047.13	Professional		$32.36	$33.11	$1,047.13
Quartz Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,778.28 / $3,019.95	Professional		$912.01	$1,778.28	$3,019.95
Quartz Facility/Professional Facility Modifier Low / Median / High Price $6,309.57 / $9,332.54 / $9,332.54	Facility		$6,309.57	$9,332.54	$9,332.54
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $3,801.89 / $9,772.37	Professional		$1,071.52	$3,801.89	$9,772.37
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,981.07 / $3,981.07 / $3,981.07	Professional		$3,981.07	$3,981.07	$3,981.07
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $4,570.88 / $5,754.40	Professional		$2,137.96	$4,570.88	$5,754.40
United Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $7,413.10 / $9,120.11	Facility		$4,897.79	$7,413.10	$9,120.11
United Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,288.25 / $3,311.31	Professional		$758.58	$1,288.25	$3,311.31