Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,445.44 / $14,454.40	Facility		$776.25	$1,445.44	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $741.31 / $2,398.83	Professional		$630.96	$741.31	$2,398.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,220.18 / $16,982.44 / $29,512.09	Facility		$11,220.18	$16,982.44	$29,512.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $1,380.38 / $3,235.94	Professional		$676.08	$1,380.38	$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 / $2,454.71	Professional		$1,047.13	$2,137.96	$2,454.71
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $6,918.31 / $13,489.63	Facility		$776.25	$6,918.31	$13,489.63
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,737.80 / $2,187.76	Professional		$1,258.93	$1,737.80	$2,187.76
Medica Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $6,918.31 / $13,803.84	Facility		$776.25	$6,918.31	$13,803.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,258.93 / $5,248.07	Professional		$691.83	$1,258.93	$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 $10,715.19 / $16,218.10 / $16,218.10	Facility		$10,715.19	$16,218.10	$16,218.10
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 $1,778.28 / $1,778.28 / $1,778.28	Professional		$1,778.28	$1,778.28	$1,778.28
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $3,801.89 / $3,890.45	Professional		$1,819.70	$3,801.89	$3,890.45
United Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $10,232.93 / $14,454.40	Facility		$6,606.93	$10,232.93	$14,454.40
United Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $1,122.02 / $3,019.95	Professional		$660.69	$1,122.02	$3,019.95