Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,513.56 / $14,454.40	Facility		$794.33	$1,513.56	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $831.76 / $1,862.09	Professional		$691.83	$831.76	$1,862.09
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 $724.44 / $1,412.54 / $3,311.31	Professional		$724.44	$1,412.54	$3,311.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $2,238.72 / $3,548.13	Facility		$1,905.46	$2,238.72	$3,548.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $2,344.23 / $2,691.53	Professional		$1,047.13	$2,344.23	$2,691.53
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $6,918.31 / $13,489.63	Facility		$812.83	$6,918.31	$13,489.63
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,819.70 / $2,290.87	Professional		$1,318.26	$1,819.70	$2,290.87
Medica Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $6,918.31 / $12,302.69	Facility		$812.83	$6,918.31	$12,302.69
Medica Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,318.26 / $5,495.41	Professional		$741.31	$1,318.26	$5,495.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,000.00	Professional		$32.36	$33.11	$1,000.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,698.24 / $2,344.23	Professional		$870.96	$1,698.24	$2,344.23
Quartz Facility/Professional Facility Modifier Low / Median / High Price $5,370.32 / $8,128.31 / $8,128.31	Facility		$5,370.32	$8,128.31	$8,128.31
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $3,630.78 / $5,370.32	Professional		$1,023.29	$3,630.78	$5,370.32
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,041.74 / $2,041.74	Professional		$2,041.74	$2,041.74	$2,041.74
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $3,630.78 / $3,630.78	Professional		$2,089.30	$3,630.78	$3,630.78
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 $707.95 / $1,202.26 / $3,235.94	Professional		$707.95	$1,202.26	$3,235.94