Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,621.81 / $14,454.40	Facility		$851.14	$1,621.81	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $794.33 / $1,949.84	Professional		$691.83	$794.33	$1,949.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,220.18 / $16,982.44 / $28,840.32	Facility		$11,220.18	$16,982.44	$28,840.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,513.56 / $3,548.13	Professional		$741.31	$1,513.56	$3,548.13
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 $1,174.90 / $2,398.83 / $2,691.53	Professional		$1,174.90	$2,398.83	$2,691.53
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $6,918.31 / $13,489.63	Facility		$851.14	$6,918.31	$13,489.63
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,949.84 / $2,398.83	Professional		$1,380.38	$1,949.84	$2,398.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $6,918.31 / $13,803.84	Facility		$851.14	$6,918.31	$13,803.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,288.25 / $5,888.44	Professional		$758.58	$1,288.25	$5,888.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $977.24	Professional		$32.36	$33.11	$977.24
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 $12,022.64 / $17,782.79 / $17,782.79	Facility		$12,022.64	$17,782.79	$17,782.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $3,801.89 / $5,754.40	Professional		$1,174.90	$3,801.89	$5,754.40
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $1,949.84 / $1,949.84	Professional		$1,949.84	$1,949.84	$1,949.84
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $4,265.80 / $4,265.80	Professional		$1,949.84	$4,265.80	$4,265.80
United Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $10,232.93 / $14,454.40	Facility		$6,606.93	$10,232.93	$14,454.40
United Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,230.27 / $3,311.31	Professional		$691.83	$1,230.27	$3,311.31