Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,737.80 / $14,454.40	Facility		$933.25	$1,737.80	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $870.96 / $2,137.96	Professional		$758.58	$870.96	$2,137.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $4,897.79 / $8,709.64	Facility		$3,311.31	$4,897.79	$8,709.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,659.59 / $3,890.45	Professional		$812.83	$1,659.59	$3,890.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $2,570.40 / $4,073.80	Facility		$2,187.76	$2,570.40	$4,073.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $2,570.40 / $2,951.21	Professional		$1,288.25	$2,570.40	$2,951.21
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $6,918.31 / $13,489.63	Facility		$933.25	$6,918.31	$13,489.63
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,089.30 / $2,630.27	Professional		$1,513.56	$2,089.30	$2,630.27
Medica Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $5,495.41 / $8,317.64	Facility		$933.25	$5,495.41	$8,317.64
Medica Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,513.56 / $6,456.54	Professional		$831.76	$1,513.56	$6,456.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,122.02	Professional		$32.36	$33.11	$1,122.02
Quartz Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,905.46 / $2,691.53	Professional		$977.24	$1,905.46	$2,691.53
Quartz Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $7,585.78 / $7,585.78	Facility		$5,011.87	$7,585.78	$7,585.78
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $4,168.69 / $6,456.54	Professional		$1,288.25	$4,168.69	$6,456.54
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,137.96 / $2,137.96	Professional		$2,137.96	$2,137.96	$2,137.96
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $4,570.88 / $4,677.35	Professional		$1,995.26	$4,570.88	$4,677.35
United Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $7,413.10 / $9,120.11	Facility		$4,897.79	$7,413.10	$9,120.11
United Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,348.96 / $3,630.78	Professional		$794.33	$1,348.96	$3,630.78