Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $630.96 / $851.14	Professional		$524.81	$630.96	$851.14
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $1,148.15 / $3,630.78	Professional		$60.26	$1,148.15	$3,630.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $2,570.40 / $3,801.89	Facility		$2,290.87	$2,570.40	$3,801.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,023.29 / $2,187.76	Professional		$831.76	$1,023.29	$2,187.76
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $851.14 / $2,137.96	Facility		$630.96	$851.14	$2,137.96
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $4,265.80 / $4,265.80 / $4,677.35	Professional		$4,265.80	$4,265.80	$4,677.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $1,000.00 / $2,454.71	Facility		$630.96	$1,000.00	$2,454.71
Medica Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $426.58 / $3,548.13	Professional		$309.03	$426.58	$3,548.13
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 $1,230.27 / $1,621.81 / $2,344.23	Professional		$1,230.27	$1,621.81	$2,344.23
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,412.54 / $3,388.44	Facility		$1,412.54	$1,412.54	$3,388.44
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $2,818.38 / $3,548.13	Professional		$1,023.29	$2,818.38	$3,548.13
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,513.56 / $1,513.56	Professional		$1,513.56	$1,513.56	$1,513.56
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,715.35 / $3,890.45 / $3,890.45	Professional		$3,715.35	$3,890.45	$3,890.45
United Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $426.58 / $1,258.93	Professional		$295.12	$426.58	$1,258.93