Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,659.59 / $14,454.40	Facility		$891.25	$1,659.59	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $812.83 / $2,041.74	Professional		$724.44	$812.83	$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 $776.25 / $1,584.89 / $3,715.35	Professional		$776.25	$1,584.89	$3,715.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $2,454.71 / $3,890.45	Facility		$2,089.30	$2,454.71	$3,890.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $2,454.71 / $2,754.23	Professional		$1,202.26	$2,454.71	$2,754.23
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $5,128.61 / $9,549.93	Facility		$891.25	$5,128.61	$9,549.93
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,995.26 / $2,511.89	Professional		$1,445.44	$1,995.26	$2,511.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $6,309.57 / $12,302.69	Facility		$891.25	$6,309.57	$12,302.69
Medica Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,445.44 / $7,079.46	Professional		$794.33	$1,445.44	$7,079.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,071.52	Professional		$32.36	$33.11	$1,071.52
Quartz Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,819.70 / $2,511.89	Professional		$933.25	$1,819.70	$2,511.89
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $6,456.54 / $6,456.54	Facility		$2,089.30	$6,456.54	$6,456.54
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $3,981.07 / $7,079.46	Professional		$1,202.26	$3,981.07	$7,079.46
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $1,995.26	Professional		$1,995.26	$1,995.26	$1,995.26
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $4,365.16 / $4,466.84	Professional		$2,089.30	$4,365.16	$4,466.84
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 $758.58 / $1,288.25 / $3,467.37	Professional		$758.58	$1,288.25	$3,467.37