Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,949.84 / $14,454.40	Facility		$870.96	$1,949.84	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $977.24 / $2,570.40	Professional		$831.76	$977.24	$2,570.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $10,964.78 / $17,378.01	Facility		$6,606.93	$10,964.78	$17,378.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,819.70 / $4,677.35	Professional		$933.25	$1,819.70	$4,677.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $2,884.03 / $4,786.30	Facility		$2,454.71	$2,884.03	$4,786.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $3,715.35 / $4,265.80	Professional		$1,348.96	$3,715.35	$4,265.80
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,548.82 / $3,981.07	Facility		$891.25	$1,548.82	$3,981.07
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,290.87 / $2,884.03	Professional		$1,698.24	$2,290.87	$2,884.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,862.09 / $15,135.61	Facility		$933.25	$1,862.09	$15,135.61
Medica Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,659.59 / $7,079.46	Professional		$954.99	$1,659.59	$7,079.46
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 $1,412.54 / $2,137.96 / $3,235.94	Professional		$1,412.54	$2,137.96	$3,235.94
Quartz Facility/Professional Facility Modifier Low / Median / High Price $6,309.57 / $11,748.98 / $17,378.01	Facility		$6,309.57	$11,748.98	$17,378.01
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $4,570.88 / $6,918.31	Professional		$1,819.70	$4,570.88	$6,918.31
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,311.31 / $3,311.31 / $3,311.31	Professional		$3,311.31	$3,311.31	$3,311.31
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $5,495.41 / $6,025.60	Professional		$2,951.21	$5,495.41	$6,025.60
United Facility/Professional Facility Modifier Low / Median / High Price $7,585.78 / $12,302.69 / $16,595.87	Facility		$7,585.78	$12,302.69	$16,595.87
United Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,412.54 / $3,890.45	Professional		$912.01	$1,412.54	$3,890.45