Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $1,096.48 / $14,454.40	Facility		$489.78	$1,096.48	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $489.78 / $870.96	Professional		$426.58	$489.78	$870.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $7,943.28 / $12,589.25	Facility		$5,011.87	$7,943.28	$12,589.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $1,023.29 / $2,290.87	Professional		$478.63	$1,023.29	$2,290.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,621.81 / $2,630.27	Facility		$1,380.38	$1,621.81	$2,630.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,548.82 / $1,778.28	Professional		$794.33	$1,548.82	$1,778.28
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $7,244.36 / $14,125.38	Facility		$537.03	$7,244.36	$14,125.38
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,318.26 / $1,548.82	Professional		$954.99	$1,318.26	$1,548.82
Medica Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $7,585.78 / $12,589.25	Facility		$537.03	$7,585.78	$12,589.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $870.96 / $2,630.27	Professional		$501.19	$870.96	$2,630.27
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 $602.56 / $1,096.48 / $1,659.59	Professional		$602.56	$1,096.48	$1,659.59
Quartz Facility/Professional Facility Modifier Low / Median / High Price $6,025.60 / $6,025.60 / $8,912.51	Facility		$6,025.60	$6,025.60	$8,912.51
Quartz Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $2,187.76 / $3,890.45	Professional		$724.44	$2,187.76	$3,890.45
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $1,318.26	Professional		$1,318.26	$1,318.26	$1,318.26
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $3,019.95 / $3,019.95	Professional		$1,698.24	$3,019.95	$3,019.95
United Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $10,232.93 / $12,589.25	Facility		$6,606.93	$10,232.93	$12,589.25
United Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $794.33 / $2,137.96	Professional		$467.74	$794.33	$2,137.96