Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,174.90 / $9,332.54	Facility		$870.96	$1,174.90	$9,332.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $691.83 / $1,230.27	Professional		$549.54	$691.83	$1,230.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $3,090.30 / $5,754.40	Facility		$1,584.89	$3,090.30	$5,754.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $1,122.02 / $2,951.21	Professional		$588.84	$1,122.02	$2,951.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $1,862.09 / $2,951.21	Facility		$1,584.89	$1,862.09	$2,951.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $1,412.54 / $2,884.03	Professional		$575.44	$1,412.54	$2,884.03
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $1,023.29 / $6,918.31	Facility		$575.44	$1,023.29	$6,918.31
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,479.11 / $1,778.28	Professional		$1,047.13	$1,479.11	$1,778.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $1,000.00 / $1,778.28	Facility		$575.44	$1,000.00	$1,778.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $1,288.25 / $4,466.84	Professional		$616.60	$1,288.25	$4,466.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $758.58	Professional		$32.36	$33.11	$758.58
Quartz Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,380.38 / $2,089.30	Professional		$776.25	$1,380.38	$2,089.30
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $4,570.88 / $4,570.88	Facility		$1,479.11	$4,570.88	$4,570.88
Quartz Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $2,137.96 / $4,365.16	Professional		$588.84	$2,137.96	$4,365.16
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $2,691.53 / $2,818.38	Professional		$2,691.53	$2,691.53	$2,818.38
Security Health Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $524.81 / $524.81	Facility		$524.81	$524.81	$524.81
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $5,623.41 / $5,888.44	Professional		$2,630.27	$5,623.41	$5,888.44
United Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,584.89 / $2,137.96	Facility		$1,023.29	$1,584.89	$2,137.96
United Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $1,000.00 / $2,454.71	Professional		$562.34	$1,000.00	$2,454.71