Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $794.33 / $6,165.95	Facility		$263.03	$794.33	$6,165.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $371.54 / $977.24	Professional		$269.15	$371.54	$977.24
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 $371.54 / $724.44 / $1,659.59	Professional		$371.54	$724.44	$1,659.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,174.90 / $1,905.46	Facility		$1,023.29	$1,174.90	$1,905.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $691.83 / $1,148.15	Professional		$346.74	$691.83	$1,148.15
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $794.33 / $3,715.35	Facility		$309.03	$794.33	$3,715.35
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $851.14 / $1,148.15	Professional		$588.84	$851.14	$1,148.15
Medica Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $776.25 / $7,762.47	Facility		$323.59	$776.25	$7,762.47
Medica Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $676.08 / $2,344.23	Professional		$363.08	$676.08	$2,344.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $933.25	Professional		$32.36	$33.11	$933.25
Quartz Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $891.25 / $1,318.26	Professional		$549.54	$891.25	$1,318.26
Quartz Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $6,760.83 / $6,760.83	Facility		$4,570.88	$6,760.83	$6,760.83
Quartz Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $512.86 / $2,818.38	Professional		$323.59	$512.86	$2,818.38
Security Health Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $1,348.96 / $1,737.80	Professional		$588.84	$1,348.96	$1,737.80
United Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $7,413.10 / $9,120.11	Facility		$4,897.79	$7,413.10	$9,120.11
United Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $524.81 / $1,348.96	Professional		$323.59	$524.81	$1,348.96