Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $1,862.09 / $6,456.54	Facility		$489.78	$1,862.09	$6,456.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $1,380.38 / $2,041.74	Professional		$416.87	$1,380.38	$2,041.74
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 $724.44 / $2,238.72 / $6,760.83	Professional		$724.44	$2,238.72	$6,760.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $5,248.07 / $8,317.64	Facility		$4,466.84	$5,248.07	$8,317.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,621.81 / $5,370.32	Professional		$758.58	$1,621.81	$5,370.32
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $3,467.37 / $6,918.31	Facility		$489.78	$3,467.37	$6,918.31
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,380.38 / $4,677.35	Professional		$954.99	$1,380.38	$4,677.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $5,248.07 / $15,135.61	Facility		$524.81	$5,248.07	$15,135.61
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $3,548.13 / $8,511.38	Professional		$1,862.09	$3,548.13	$8,511.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,258.93	Professional		$32.36	$33.11	$1,258.93
Quartz Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,737.80 / $5,495.41	Professional		$794.33	$1,737.80	$5,495.41
Quartz Facility/Professional Facility Modifier Low / Median / High Price $10,964.78 / $15,848.93 / $15,848.93	Facility		$10,964.78	$15,848.93	$15,848.93
Quartz Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $3,388.44 / $12,302.69	Professional		$676.08	$3,388.44	$12,302.69
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,122.02 / $4,365.16	Professional		$1,122.02	$1,122.02	$4,365.16
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,570.40 / $9,120.11	Professional		$1,659.59	$2,570.40	$9,120.11
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 $501.19 / $1,862.09 / $6,456.54	Professional		$501.19	$1,862.09	$6,456.54