Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $1,148.15 / $14,454.40	Facility		$524.81	$1,148.15	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $707.95 / $1,621.81	Professional		$512.86	$707.95	$1,621.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,748.98 / $16,218.10 / $26,302.68	Facility		$11,748.98	$16,218.10	$26,302.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,288.25 / $3,890.45	Professional		$831.76	$1,288.25	$3,890.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $1,698.24 / $2,754.23	Facility		$1,479.11	$1,698.24	$2,754.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,659.59 / $1,995.26	Professional		$831.76	$1,659.59	$1,995.26
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $3,981.07 / $7,413.10	Facility		$602.56	$3,981.07	$7,413.10
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,380.38 / $1,737.80	Professional		$1,000.00	$1,380.38	$1,737.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $8,317.64 / $15,848.93	Facility		$602.56	$8,317.64	$15,848.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,819.70 / $7,762.47	Professional		$1,122.02	$1,819.70	$7,762.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,548.82	Professional		$32.36	$33.11	$1,548.82
Quartz Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $1,258.93 / $2,398.83	Professional		$645.65	$1,258.93	$2,398.83
Quartz Facility/Professional Facility Modifier Low / Median / High Price $20,417.38 / $30,199.52 / $30,199.52	Facility		$20,417.38	$30,199.52	$30,199.52
Quartz Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $5,370.32 / $7,943.28	Professional		$758.58	$5,370.32	$7,943.28
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $1,819.70	Professional		$1,819.70	$1,819.70	$1,819.70
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $3,388.44 / $5,248.07	Professional		$3,162.28	$3,388.44	$5,248.07
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 $891.25 / $1,659.59 / $4,677.35	Professional		$891.25	$1,659.59	$4,677.35