Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,621.81 / $14,454.40	Facility		$794.33	$1,621.81	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $812.83 / $1,995.26	Professional		$741.31	$812.83	$1,995.26
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 $776.25 / $1,513.56 / $3,801.89	Professional		$776.25	$1,513.56	$3,801.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $2,398.83 / $3,801.89	Facility		$2,041.74	$2,398.83	$3,801.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $2,511.89 / $2,884.03	Professional		$1,122.02	$2,511.89	$2,884.03
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $3,019.95 / $5,370.32	Facility		$870.96	$3,019.95	$5,370.32
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,949.84 / $2,454.71	Professional		$1,412.54	$1,949.84	$2,454.71
Medica Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $6,918.31 / $12,882.50	Facility		$870.96	$6,918.31	$12,882.50
Medica Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,412.54 / $8,912.51	Professional		$794.33	$1,412.54	$8,912.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,071.52	Professional		$32.36	$33.11	$1,071.52
Quartz Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,819.70 / $3,090.30	Professional		$933.25	$1,819.70	$3,090.30
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 $1,071.52 / $3,890.45 / $8,912.51	Professional		$1,071.52	$3,890.45	$8,912.51
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,073.80 / $4,073.80 / $4,073.80	Professional		$4,073.80	$4,073.80	$4,073.80
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,715.35 / $4,677.35 / $5,888.44	Professional		$3,715.35	$4,677.35	$5,888.44
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 $776.25 / $1,318.26 / $3,388.44	Professional		$776.25	$1,318.26	$3,388.44