Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $691.83 / $5,248.07	Facility		$177.83	$691.83	$5,248.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $316.23 / $758.58	Professional		$190.55	$316.23	$758.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $4,570.88 / $7,079.46	Facility		$2,344.23	$4,570.88	$7,079.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $602.56 / $1,348.96	Professional		$323.59	$602.56	$1,348.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,047.13 / $1,659.59	Facility		$891.25	$1,047.13	$1,659.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $537.03 / $912.01	Professional		$239.88	$537.03	$912.01
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $616.60 / $3,981.07	Facility		$208.93	$616.60	$3,981.07
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $616.60 / $1,000.00	Professional		$389.05	$616.60	$1,000.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $616.60 / $5,128.61	Facility		$213.80	$616.60	$5,128.61
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $100.00 / $100.00 / $100.00	Facility	AS	$100.00	$100.00	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $537.03 / $1,584.89	Professional		$323.59	$537.03	$1,584.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $660.69	Professional		$32.36	$33.11	$660.69
Quartz Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $645.65 / $1,202.26	Professional		$380.19	$645.65	$1,202.26
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $3,801.89 / $5,623.41	Facility		$3,801.89	$3,801.89	$5,623.41
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $380.19 / $380.19 / $562.34	Facility	AS	$380.19	$380.19	$562.34
Quartz Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $389.05 / $2,454.71	Professional		$229.09	$389.05	$2,454.71
Security Health Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $912.01 / $1,445.44	Professional		$467.74	$912.01	$1,445.44
United Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $3,630.78 / $6,456.54	Facility		$2,754.23	$3,630.78	$6,456.54
United Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $436.52 / $1,122.02	Professional		$234.42	$436.52	$1,122.02