Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $1,445.44 / $14,454.40	Facility		$630.96	$1,445.44	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $691.83 / $1,778.28	Professional		$588.84	$691.83	$1,778.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $7,943.28 / $12,589.25	Facility		$5,011.87	$7,943.28	$12,589.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $1,380.38 / $3,311.31	Professional		$676.08	$1,380.38	$3,311.31
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 $1,023.29 / $2,754.23 / $3,090.30	Professional		$1,023.29	$2,754.23	$3,090.30
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $1,148.15 / $10,000.00	Facility		$645.65	$1,148.15	$10,000.00
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,659.59 / $2,137.96	Professional		$1,258.93	$1,659.59	$2,137.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $1,380.38 / $11,220.18	Facility		$676.08	$1,380.38	$11,220.18
Medica Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,202.26 / $5,128.61	Professional		$707.95	$1,202.26	$5,128.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $70.79	Professional		$32.36	$33.11	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,584.89 / $2,398.83	Professional		$1,047.13	$1,584.89	$2,398.83
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $6,025.60 / $8,912.51	Facility		$3,235.94	$6,025.60	$8,912.51
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $3,311.31 / $5,128.61	Professional		$1,318.26	$3,311.31	$5,128.61
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $2,398.83 / $2,398.83	Professional		$2,398.83	$2,398.83	$2,398.83
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $3,981.07 / $4,466.84	Professional		$2,187.76	$3,981.07	$4,466.84
United Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $10,232.93 / $12,589.25	Facility		$6,606.93	$10,232.93	$12,589.25
United Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $1,047.13 / $2,818.38	Professional		$660.69	$1,047.13	$2,818.38