Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $1,348.96 / $14,454.40	Facility		$660.69	$1,348.96	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $660.69 / $1,621.81	Professional		$602.56	$660.69	$1,621.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $4,786.30 / $7,585.78	Facility		$3,311.31	$4,786.30	$7,585.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $1,230.27 / $3,090.30	Professional		$630.96	$1,230.27	$3,090.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $1,949.84 / $3,162.28	Facility		$1,659.59	$1,949.84	$3,162.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $2,089.30 / $2,344.23	Professional		$933.25	$2,089.30	$2,344.23
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $3,019.95 / $5,370.32	Facility		$660.69	$3,019.95	$5,370.32
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,621.81 / $1,995.26	Professional		$1,148.15	$1,621.81	$1,995.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $5,248.07 / $8,317.64	Facility		$660.69	$5,248.07	$8,317.64
Medica Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $1,202.26 / $4,786.30	Professional		$645.65	$1,202.26	$4,786.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $870.96	Professional		$32.36	$33.11	$870.96
Quartz Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,479.11 / $2,570.40	Professional		$776.25	$1,479.11	$2,570.40
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $5,495.41 / $5,495.41	Facility		$3,715.35	$5,495.41	$5,495.41
Quartz Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $3,162.28 / $4,786.30	Professional		$891.25	$3,162.28	$4,786.30
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,311.31 / $3,311.31 / $3,311.31	Professional		$3,311.31	$3,311.31	$3,311.31
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $3,801.89 / $4,786.30	Professional		$3,019.95	$3,801.89	$4,786.30
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 $630.96 / $1,023.29 / $2,754.23	Professional		$630.96	$1,023.29	$2,754.23