Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,905.46 / $14,454.40	Facility		$933.25	$1,905.46	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $954.99 / $2,344.23	Professional		$870.96	$954.99	$2,344.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $10,964.78 / $17,378.01	Facility		$6,606.93	$10,964.78	$17,378.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,778.28 / $4,265.80	Professional		$912.01	$1,778.28	$4,265.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $2,818.38 / $4,466.84	Facility		$2,398.83	$2,818.38	$4,466.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $2,951.21 / $3,388.44	Professional		$1,318.26	$2,951.21	$3,388.44
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $3,019.95 / $5,370.32	Facility		$1,023.29	$3,019.95	$5,370.32
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,290.87 / $2,884.03	Professional		$1,659.59	$2,290.87	$2,884.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $6,918.31 / $12,882.50	Facility		$1,023.29	$6,918.31	$12,882.50
Medica Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,659.59 / $7,762.47	Professional		$933.25	$1,659.59	$7,762.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $776.25	Professional		$32.36	$33.11	$776.25
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $2,137.96 / $3,630.78	Professional		$1,096.48	$2,137.96	$3,630.78
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 $1,258.93 / $4,570.88 / $7,762.47	Professional		$1,258.93	$4,570.88	$7,762.47
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,786.30 / $4,786.30 / $4,786.30	Professional		$4,786.30	$4,786.30	$4,786.30
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,365.16 / $5,495.41 / $6,918.31	Professional		$4,365.16	$5,495.41	$6,918.31
United Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $10,232.93 / $14,125.38	Facility		$6,606.93	$10,232.93	$14,125.38
United Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,548.82 / $3,981.07	Professional		$912.01	$1,548.82	$3,981.07