Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $1,096.48 / $14,454.40	Facility		$489.78	$1,096.48	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $602.56 / $1,380.38	Professional		$489.78	$602.56	$1,380.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $4,786.30 / $7,585.78	Facility		$3,311.31	$4,786.30	$7,585.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $1,023.29 / $2,630.27	Professional		$524.81	$1,023.29	$2,630.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,584.89 / $2,691.53	Facility		$1,348.96	$1,584.89	$2,691.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $2,089.30 / $2,398.83	Professional		$707.95	$2,089.30	$2,398.83
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $1,071.52 / $3,548.13	Facility		$512.86	$1,071.52	$3,548.13
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,318.26 / $1,548.82	Professional		$954.99	$1,318.26	$1,548.82
Medica Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $1,096.48 / $5,248.07	Facility		$549.54	$1,096.48	$5,248.07
Medica Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $1,584.89 / $14,125.38	Professional		$575.44	$1,584.89	$14,125.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $575.44	Professional		$32.36	$33.11	$575.44
Quartz Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,318.26 / $1,995.26	Professional		$870.96	$1,318.26	$1,995.26
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $5,011.87 / $7,413.10	Facility		$2,691.53	$5,011.87	$7,413.10
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $8,317.64 / $14,791.08	Professional		$1,000.00	$8,317.64	$14,791.08
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $1,819.70	Professional		$1,819.70	$1,819.70	$1,819.70
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $3,090.30 / $3,388.44	Professional		$1,479.11	$3,090.30	$3,388.44
United Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $3,801.89 / $6,606.93	Facility		$2,884.03	$3,801.89	$6,606.93
United Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $954.99 / $2,511.89	Professional		$501.19	$954.99	$2,511.89