Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,288.25 / $2,691.53	Facility		$933.25	$1,288.25	$2,691.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $776.25 / $1,288.25	Professional		$602.56	$776.25	$1,288.25
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 $724.44 / $1,230.27 / $3,235.94	Professional		$724.44	$1,230.27	$3,235.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $2,290.87 / $3,715.35	Facility		$1,995.26	$2,290.87	$3,715.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,698.24 / $3,388.44	Professional		$707.95	$1,698.24	$3,388.44
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $1,174.90 / $3,548.13	Facility		$691.83	$1,174.90	$3,548.13
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,698.24 / $2,041.74	Professional		$1,288.25	$1,698.24	$2,041.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $1,230.27 / $8,128.31	Facility		$691.83	$1,230.27	$8,128.31
Medica Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,659.59 / $5,495.41	Professional		$758.58	$1,659.59	$5,495.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $954.99	Professional		$32.36	$33.11	$954.99
Quartz Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,659.59 / $2,570.40	Professional		$851.14	$1,659.59	$2,570.40
Quartz Facility/Professional Facility Modifier Low / Median / High Price $4,677.35 / $6,918.31 / $6,918.31	Facility		$4,677.35	$6,918.31	$6,918.31
Quartz Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $2,691.53 / $5,754.40	Professional		$676.08	$2,691.53	$5,754.40
Security Health Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $3,715.35 / $3,715.35	Facility		$3,715.35	$3,715.35	$3,715.35
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $6,165.95 / $7,244.36	Professional		$2,884.03	$6,165.95	$7,244.36
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 $630.96 / $1,148.15 / $2,951.21	Professional		$630.96	$1,148.15	$2,951.21