Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $1,148.15 / $14,454.40	Facility		$602.56	$1,148.15	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $549.54 / $1,412.54	Professional		$478.63	$549.54	$1,412.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $10,964.78 / $18,197.01	Facility		$6,606.93	$10,964.78	$18,197.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $1,071.52 / $2,511.89	Professional		$524.81	$1,071.52	$2,511.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $1,698.24 / $2,691.53	Facility		$1,445.44	$1,698.24	$2,691.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,698.24 / $1,905.46	Professional		$851.14	$1,698.24	$1,905.46
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $4,677.35 / $8,912.51	Facility		$602.56	$4,677.35	$8,912.51
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,380.38 / $1,737.80	Professional		$1,000.00	$1,380.38	$1,737.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $6,606.93 / $12,302.69	Facility		$616.60	$6,606.93	$12,302.69
Medica Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $933.25 / $7,943.28	Professional		$537.03	$933.25	$7,943.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $467.74	Professional		$32.36	$33.11	$467.74
Quartz Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $1,288.25 / $1,778.28	Professional		$660.69	$1,288.25	$1,778.28
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $3,467.37 / $3,467.37	Facility		$1,445.44	$3,467.37	$3,467.37
Quartz Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $2,630.27 / $7,943.28	Professional		$851.14	$2,630.27	$7,943.28
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,380.38 / $1,380.38	Professional		$1,380.38	$1,380.38	$1,380.38
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $3,019.95 / $3,019.95	Professional		$1,258.93	$3,019.95	$3,019.95
United Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $10,232.93 / $12,589.25	Facility		$4,265.80	$10,232.93	$12,589.25
United Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $851.14 / $2,344.23	Professional		$501.19	$851.14	$2,344.23