Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $2,630.27 / $2,630.27	Facility		$1,148.15	$2,630.27	$2,630.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $776.25 / $1,148.15	Professional		$660.69	$776.25	$1,148.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $2,570.40 / $2,630.27	Facility		$2,041.74	$2,570.40	$2,630.27
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $380.19 / $3,467.37	Professional		$323.59	$380.19	$3,467.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $3,019.95 / $4,897.79	Facility		$2,630.27	$3,019.95	$4,897.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $2,398.83 / $2,951.21	Professional		$1,096.48	$2,398.83	$2,951.21
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $3,890.45 / $5,495.41	Facility		$977.24	$3,890.45	$5,495.41
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $954.99 / $6,309.57	Professional		$954.99	$954.99	$6,309.57
Medica Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,202.26 / $3,311.31	Facility		$851.14	$1,202.26	$3,311.31
Medica Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $575.44 / $3,388.44	Professional		$478.63	$575.44	$3,388.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $64.57 / $85.11	Professional		$50.12	$64.57	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $2,238.72 / $3,162.28	Professional		$1,479.11	$2,238.72	$3,162.28
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $4,466.84 / $4,466.84	Facility		$1,905.46	$4,466.84	$4,466.84
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $4,786.30 / $4,786.30	Professional		$1,380.38	$4,786.30	$4,786.30
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,041.74 / $2,041.74	Professional		$2,041.74	$2,041.74	$2,041.74
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $5,128.61 / $7,244.36	Professional		$2,754.23	$5,128.61	$7,244.36
United Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $758.58 / $1,148.15	Facility		$758.58	$758.58	$1,148.15
United Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $575.44 / $1,584.89	Professional		$398.11	$575.44	$1,584.89