Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $741.31 / $1,174.90	Facility		$309.03	$741.31	$1,174.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $323.59 / $741.31	Professional		$181.97	$323.59	$741.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $3,090.30 / $5,754.40	Facility		$1,584.89	$3,090.30	$5,754.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $602.56 / $1,380.38	Professional		$338.84	$602.56	$1,380.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,148.15 / $1,819.70	Facility		$977.24	$1,148.15	$1,819.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $575.44 / $1,000.00	Professional		$263.03	$575.44	$1,000.00
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $602.56 / $3,311.31	Facility		$208.93	$602.56	$3,311.31
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $645.65 / $1,071.52	Professional		$398.11	$645.65	$1,071.52
Medica Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $588.84 / $1,659.59	Facility		$213.80	$588.84	$1,659.59
Medica Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $602.56 / $1,584.89	Professional		$323.59	$602.56	$1,584.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $630.96	Professional		$32.36	$33.11	$630.96
Quartz Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $645.65 / $1,202.26	Professional		$363.08	$645.65	$1,202.26
Quartz Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $2,754.23 / $2,754.23	Facility		$831.76	$2,754.23	$2,754.23
Quartz Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $512.86 / $2,630.27	Professional		$245.47	$512.86	$2,630.27
Security Health Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $912.01 / $1,584.89	Professional		$398.11	$912.01	$1,584.89
United Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,548.82 / $1,949.84	Facility		$1,023.29	$1,548.82	$1,949.84
United Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $426.58 / $1,174.90	Professional		$218.78	$426.58	$1,174.90