Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $851.14 / $3,090.30	Facility		$346.74	$851.14	$3,090.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $524.81 / $1,096.48	Professional		$354.81	$524.81	$1,096.48
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 $575.44 / $1,148.15 / $2,344.23	Professional		$575.44	$1,148.15	$2,344.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $1,862.09 / $2,951.21	Facility		$1,584.89	$1,862.09	$2,951.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $1,071.52 / $1,778.28	Professional		$512.86	$1,071.52	$1,778.28
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $1,122.02 / $3,715.35	Facility		$380.19	$1,122.02	$3,715.35
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,096.48 / $1,778.28	Professional		$758.58	$1,096.48	$1,778.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $1,023.29 / $1,778.28	Facility		$416.87	$1,023.29	$1,778.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $933.25 / $3,090.30	Professional		$549.54	$933.25	$3,090.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,174.90	Professional		$32.36	$33.11	$1,174.90
Quartz Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,258.93 / $2,137.96	Professional		$741.31	$1,258.93	$2,137.96
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $2,884.03 / $2,884.03	Facility		$1,071.52	$2,884.03	$2,884.03
Quartz Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $891.25 / $4,365.16	Professional		$478.63	$891.25	$4,365.16
Security Health Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $758.58 / $1,148.15	Professional		$758.58	$758.58	$1,148.15
Security Health Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,737.80 / $2,570.40	Professional		$741.31	$1,737.80	$2,570.40
United Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,584.89 / $1,949.84	Facility		$1,023.29	$1,584.89	$1,949.84
United Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $758.58 / $1,949.84	Professional		$426.58	$758.58	$1,949.84