Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $1,122.02 / $14,454.40	Facility		$645.65	$1,122.02	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $562.34 / $1,412.54	Professional		$446.68	$562.34	$1,412.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $4,897.79 / $7,585.78	Facility		$3,311.31	$4,897.79	$7,585.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $1,047.13 / $2,187.76	Professional		$524.81	$1,047.13	$2,187.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,659.59 / $2,630.27	Facility		$1,412.54	$1,659.59	$2,630.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,659.59 / $1,905.46	Professional		$812.83	$1,659.59	$1,905.46
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $6,918.31 / $13,489.63	Facility		$660.69	$6,918.31	$13,489.63
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,348.96 / $1,698.24	Professional		$977.24	$1,348.96	$1,698.24
Medica Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $2,818.38 / $7,943.28	Facility		$645.65	$2,818.38	$7,943.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $977.24 / $4,168.69	Professional		$549.54	$977.24	$4,168.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $691.83	Professional		$32.36	$33.11	$691.83
Quartz Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $1,318.26 / $1,819.70	Professional		$676.08	$1,318.26	$1,819.70
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $3,548.13 / $3,548.13	Facility		$1,412.54	$3,548.13	$3,548.13
Quartz Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $2,691.53 / $4,073.80	Professional		$776.25	$2,691.53	$4,073.80
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,023.29 / $1,023.29	Professional		$1,023.29	$1,023.29	$1,023.29
Security Health Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,698.24 / $1,737.80	Professional		$933.25	$1,698.24	$1,737.80
United Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $6,165.95 / $19,498.45	Facility		$2,290.87	$6,165.95	$19,498.45
United Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $870.96 / $2,290.87	Professional		$524.81	$870.96	$2,290.87