Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,819.70 / $14,454.40	Facility		$977.24	$1,819.70	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $912.01 / $2,238.72	Professional		$794.33	$912.01	$2,238.72
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 $870.96 / $1,737.80 / $4,073.80	Professional		$870.96	$1,737.80	$4,073.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $2,691.53 / $4,365.16	Facility		$2,344.23	$2,691.53	$4,365.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $2,691.53 / $3,090.30	Professional		$1,348.96	$2,691.53	$3,090.30
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $3,981.07 / $7,413.10	Facility		$977.24	$3,981.07	$7,413.10
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $2,187.76 / $2,754.23	Professional		$1,584.89	$2,187.76	$2,754.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $6,309.57 / $12,302.69	Facility		$977.24	$6,309.57	$12,302.69
Medica Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,584.89 / $6,760.83	Professional		$891.25	$1,584.89	$6,760.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,148.15	Professional		$32.36	$33.11	$1,148.15
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $2,041.74 / $2,818.38	Professional		$1,047.13	$2,041.74	$2,818.38
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $7,244.36 / $7,244.36	Facility		$2,290.87	$7,244.36	$7,244.36
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $4,365.16 / $6,760.83	Professional		$1,348.96	$4,365.16	$6,760.83
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $2,238.72 / $2,238.72	Professional		$2,238.72	$2,238.72	$2,238.72
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $4,897.79 / $4,897.79	Professional		$2,137.96	$4,897.79	$4,897.79
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 $831.76 / $1,445.44 / $3,801.89	Professional		$831.76	$1,445.44	$3,801.89