Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $1,122.02 / $14,454.40	Facility		$588.84	$1,122.02	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $549.54 / $1,380.38	Professional		$478.63	$549.54	$1,380.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $4,786.30 / $8,709.64	Facility		$3,311.31	$4,786.30	$8,709.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $1,047.13 / $2,454.71	Professional		$512.86	$1,047.13	$2,454.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,659.59 / $2,630.27	Facility		$1,412.54	$1,659.59	$2,630.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,659.59 / $1,862.09	Professional		$812.83	$1,659.59	$1,862.09
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $6,918.31 / $13,489.63	Facility		$588.84	$6,918.31	$13,489.63
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,348.96 / $1,659.59	Professional		$977.24	$1,348.96	$1,659.59
Medica Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $5,495.41 / $8,709.64	Facility		$588.84	$5,495.41	$8,709.64
Medica Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $954.99 / $5,011.87	Professional		$524.81	$954.99	$5,011.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $812.83	Professional		$32.36	$33.11	$812.83
Quartz Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $1,230.27 / $1,698.24	Professional		$630.96	$1,230.27	$1,698.24
Quartz Facility/Professional Facility Modifier Low / Median / High Price $8,511.38 / $12,589.25 / $12,589.25	Facility		$8,511.38	$12,589.25	$12,589.25
Quartz Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $3,715.35 / $5,248.07	Professional		$812.83	$3,715.35	$5,248.07
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,348.96 / $1,348.96	Professional		$1,348.96	$1,348.96	$1,348.96
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $2,951.21 / $2,951.21	Professional		$1,230.27	$2,951.21	$2,951.21
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 $501.19 / $870.96 / $2,290.87	Professional		$501.19	$870.96	$2,290.87