Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $1,047.13 / $4,168.69	Facility		$239.88	$1,047.13	$4,168.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $371.54 / $831.76	Professional		$245.47	$371.54	$831.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $7,943.28 / $13,182.57	Facility		$5,011.87	$7,943.28	$13,182.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $776.25 / $1,621.81	Professional		$389.05	$776.25	$1,621.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,258.93 / $1,995.26	Facility		$1,071.52	$1,258.93	$1,995.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $660.69 / $1,096.48	Professional		$323.59	$660.69	$1,096.48
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $776.25 / $3,715.35	Facility		$281.84	$776.25	$3,715.35
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $758.58 / $1,202.26	Professional		$524.81	$758.58	$1,202.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $776.25 / $7,762.47	Facility		$302.00	$776.25	$7,762.47
Medica Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $707.95 / $2,137.96	Professional		$380.19	$707.95	$2,137.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $851.14	Professional		$32.36	$33.11	$851.14
Quartz Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $831.76 / $1,380.38	Professional		$489.78	$831.76	$1,380.38
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 $295.12 / $524.81 / $2,951.21	Professional		$295.12	$524.81	$2,951.21
Security Health Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $1,230.27 / $1,737.80	Professional		$630.96	$1,230.27	$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 $302.00 / $524.81 / $1,380.38	Professional		$302.00	$524.81	$1,380.38