Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $1,318.26 / $14,454.40	Facility		$645.65	$1,318.26	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $645.65 / $1,584.89	Professional		$588.84	$645.65	$1,584.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,165.95 / $10,232.93 / $17,378.01	Facility		$6,165.95	$10,232.93	$17,378.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $1,202.26 / $3,019.95	Professional		$616.60	$1,202.26	$3,019.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $1,905.46 / $3,090.30	Facility		$1,621.81	$1,905.46	$3,090.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,995.26 / $2,290.87	Professional		$912.01	$1,995.26	$2,290.87
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $3,019.95 / $5,370.32	Facility		$691.83	$3,019.95	$5,370.32
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,584.89 / $1,949.84	Professional		$1,122.02	$1,584.89	$1,949.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $5,495.41 / $8,709.64	Facility		$691.83	$5,495.41	$8,709.64
Medica Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $1,122.02 / $5,623.41	Professional		$630.96	$1,122.02	$5,623.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $851.14	Professional		$32.36	$33.11	$851.14
Quartz Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,445.44 / $2,511.89	Professional		$741.31	$1,445.44	$2,511.89
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 $870.96 / $3,090.30 / $5,623.41	Professional		$870.96	$3,090.30	$5,623.41
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,235.94 / $3,235.94 / $3,235.94	Professional		$3,235.94	$3,235.94	$3,235.94
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $3,715.35 / $4,677.35	Professional		$1,905.46	$3,715.35	$4,677.35
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 $616.60 / $1,047.13 / $2,691.53	Professional		$616.60	$1,047.13	$2,691.53