Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,445.44 / $14,454.40	Facility		$758.58	$1,445.44	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $758.58 / $1,445.44	Professional		$616.60	$758.58	$1,445.44
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 $660.69 / $1,348.96 / $3,235.94	Professional		$660.69	$1,348.96	$3,235.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $2,137.96 / $3,388.44	Facility		$1,819.70	$2,137.96	$3,388.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $2,137.96 / $2,398.83	Professional		$1,047.13	$2,137.96	$2,398.83
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $6,918.31 / $13,489.63	Facility		$758.58	$6,918.31	$13,489.63
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,737.80 / $2,137.96	Professional		$1,230.27	$1,737.80	$2,137.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $6,606.93 / $12,302.69	Facility		$758.58	$6,606.93	$12,302.69
Medica Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $1,230.27 / $5,248.07	Professional		$676.08	$1,230.27	$5,248.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $933.25	Professional		$32.36	$33.11	$933.25
Quartz Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,584.89 / $2,187.76	Professional		$812.83	$1,584.89	$2,187.76
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $5,623.41 / $5,623.41	Facility		$1,778.28	$5,623.41	$5,623.41
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $3,388.44 / $5,128.61	Professional		$1,047.13	$3,388.44	$5,128.61
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $1,737.80 / $1,737.80	Professional		$1,737.80	$1,737.80	$1,737.80
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $3,801.89 / $3,801.89	Professional		$1,737.80	$3,801.89	$3,801.89
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 $645.65 / $1,096.48 / $2,951.21	Professional		$645.65	$1,096.48	$2,951.21