Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $2,041.74 / $8,128.31	Facility		$831.76	$2,041.74	$8,128.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $776.25 / $1,412.54	Professional		$537.03	$776.25	$1,412.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $4,570.88 / $7,079.46	Facility		$2,630.27	$4,570.88	$7,079.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,071.52 / $2,570.40	Professional		$691.83	$1,071.52	$2,570.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $2,344.23 / $3,801.89	Facility		$2,041.74	$2,344.23	$3,801.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $1,659.59 / $2,754.23	Professional		$676.08	$1,659.59	$2,754.23
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $1,096.48 / $3,981.07	Facility		$575.44	$1,096.48	$3,981.07
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,548.82 / $2,041.74	Professional		$1,202.26	$1,548.82	$2,041.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $1,148.15 / $8,128.31	Facility		$616.60	$1,148.15	$8,128.31
Medica Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,621.81 / $5,623.41	Professional		$758.58	$1,621.81	$5,623.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $741.31	Professional		$32.36	$33.11	$741.31
Quartz Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,548.82 / $2,454.71	Professional		$831.76	$1,548.82	$2,454.71
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $5,754.40 / $5,754.40	Facility		$3,981.07	$5,754.40	$5,754.40
Quartz Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $2,511.89 / $5,370.32	Professional		$588.84	$2,511.89	$5,370.32
Security Health Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $3,235.94 / $3,235.94	Facility		$3,235.94	$3,235.94	$3,235.94
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $5,370.32 / $7,413.10	Professional		$2,511.89	$5,370.32	$7,413.10
United Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $7,413.10 / $9,120.11	Facility		$4,897.79	$7,413.10	$9,120.11
United Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $1,071.52 / $2,951.21	Professional		$602.56	$1,071.52	$2,951.21