Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $691.83 / $1,230.27	Facility		$323.59	$691.83	$1,230.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $524.81 / $1,288.25	Professional		$295.12	$524.81	$1,288.25
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 $489.78 / $933.25 / $1,995.26	Professional		$489.78	$933.25	$1,995.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,548.82 / $2,454.71	Facility		$1,318.26	$1,548.82	$2,454.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $831.76 / $1,479.11	Professional		$467.74	$831.76	$1,479.11
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $912.01 / $4,897.79	Facility		$331.13	$912.01	$4,897.79
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $912.01 / $1,445.44	Professional		$616.60	$912.01	$1,445.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $912.01 / $1,737.80	Facility		$346.74	$912.01	$1,737.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $870.96 / $2,570.40	Professional		$512.86	$870.96	$2,570.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,230.27	Professional		$32.36	$33.11	$1,230.27
Quartz Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $954.99 / $1,621.81	Professional		$537.03	$954.99	$1,621.81
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $2,290.87 / $2,290.87	Facility		$1,258.93	$2,290.87	$2,290.87
Quartz Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $776.25 / $3,548.13	Professional		$416.87	$776.25	$3,548.13
Security Health Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,412.54 / $2,137.96	Professional		$758.58	$1,412.54	$2,137.96
United Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,584.89 / $2,137.96	Facility		$1,023.29	$1,584.89	$2,137.96
United Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $660.69 / $1,659.59	Professional		$371.54	$660.69	$1,659.59