Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $1,202.26 / $14,454.40	Facility		$630.96	$1,202.26	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $588.84 / $1,479.11	Professional		$512.86	$588.84	$1,479.11
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 $549.54 / $1,122.02 / $2,630.27	Professional		$549.54	$1,122.02	$2,630.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $1,778.28 / $2,818.38	Facility		$1,513.56	$1,778.28	$2,818.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,778.28 / $1,995.26	Professional		$870.96	$1,778.28	$1,995.26
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $6,918.31 / $13,489.63	Facility		$630.96	$6,918.31	$13,489.63
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,445.44 / $1,778.28	Professional		$1,023.29	$1,445.44	$1,778.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $7,585.78 / $15,848.93	Facility		$630.96	$7,585.78	$15,848.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $977.24 / $4,365.16	Professional		$562.34	$977.24	$4,365.16
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 $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 $870.96 / $2,818.38 / $4,265.80	Professional		$870.96	$2,818.38	$4,265.80
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,445.44 / $1,445.44	Professional		$1,445.44	$1,445.44	$1,445.44
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $3,162.28 / $3,162.28	Professional		$1,318.26	$3,162.28	$3,162.28
United Facility/Professional Facility Modifier Low / Median / High Price $7,585.78 / $12,302.69 / $16,218.10	Facility		$7,585.78	$12,302.69	$16,218.10
United Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $891.25 / $2,454.71	Professional		$524.81	$891.25	$2,454.71