Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $1,174.90 / $14,454.40	Facility		$616.60	$1,174.90	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $616.60 / $1,412.54	Professional		$524.81	$616.60	$1,412.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $7,943.28 / $12,589.25	Facility		$5,011.87	$7,943.28	$12,589.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $1,096.48 / $2,570.40	Professional		$562.34	$1,096.48	$2,570.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $1,737.80 / $2,754.23	Facility		$1,479.11	$1,737.80	$2,754.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,819.70 / $2,041.74	Professional		$812.83	$1,819.70	$2,041.74
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $4,466.84 / $8,912.51	Facility		$630.96	$4,466.84	$8,912.51
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,412.54 / $1,778.28	Professional		$1,023.29	$1,412.54	$1,778.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $5,495.41 / $8,709.64	Facility		$630.96	$5,495.41	$8,709.64
Medica Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $1,000.00 / $5,128.61	Professional		$562.34	$1,000.00	$5,128.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $758.58	Professional		$32.36	$33.11	$758.58
Quartz Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $1,318.26 / $1,819.70	Professional		$676.08	$1,318.26	$1,819.70
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 $776.25 / $2,754.23 / $5,128.61	Professional		$776.25	$2,754.23	$5,128.61
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,548.82 / $1,548.82	Professional		$1,548.82	$1,548.82	$1,548.82
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $2,754.23 / $2,754.23	Professional		$1,584.89	$2,754.23	$2,754.23
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 $537.03 / $912.01 / $2,454.71	Professional		$537.03	$912.01	$2,454.71