Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $1,584.89 / $14,454.40	Facility		$831.76	$1,584.89	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $891.25 / $3,388.44	Professional		$741.31	$891.25	$3,388.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $8,317.64 / $13,489.63	Facility		$5,011.87	$8,317.64	$13,489.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,479.11 / $3,548.13	Professional		$758.58	$1,479.11	$3,548.13
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 / $3,801.89 / $7,413.10	Facility		$851.14	$3,801.89	$7,413.10
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 / $6,918.31 / $12,302.69	Facility		$851.14	$6,918.31	$12,302.69
Medica Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,445.44 / $5,754.40	Professional		$776.25	$1,445.44	$5,754.40
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 / $2,454.71	Professional		$912.01	$1,778.28	$2,454.71
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 / $5,754.40	Professional		$1,071.52	$3,801.89	$5,754.40
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,137.96 / $2,137.96	Professional		$2,137.96	$2,137.96	$2,137.96
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $3,801.89 / $3,801.89	Professional		$1,698.24	$3,801.89	$3,801.89
United Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $10,232.93 / $12,589.25	Facility		$6,606.93	$10,232.93	$12,589.25
United Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,258.93 / $3,388.44	Professional		$758.58	$1,258.93	$3,388.44