Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $1,548.82 / $1,949.84	Facility		$213.80	$1,548.82	$1,949.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $389.05 / $1,230.27	Professional		$229.09	$389.05	$1,230.27
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 $371.54 / $724.44 / $1,584.89	Professional		$371.54	$724.44	$1,584.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,202.26 / $1,949.84	Facility		$1,047.13	$1,202.26	$1,949.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $630.96 / $1,071.52	Professional		$288.40	$630.96	$1,071.52
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $707.95 / $3,981.07	Facility		$251.19	$707.95	$3,981.07
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $707.95 / $1,148.15	Professional		$467.74	$707.95	$1,148.15
Medica Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $707.95 / $1,737.80	Facility		$257.04	$707.95	$1,737.80
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $117.49 / $117.49 / $117.49	Facility	AS	$117.49	$117.49	$117.49
Medica Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $630.96 / $1,905.46	Professional		$371.54	$630.96	$1,905.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $794.33	Professional		$32.36	$33.11	$794.33
Quartz Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $758.58 / $1,318.26	Professional		$446.68	$758.58	$1,318.26
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,258.93 / $1,862.09	Facility		$1,258.93	$1,258.93	$1,862.09
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $125.89 / $125.89 / $186.21	Facility	AS	$125.89	$125.89	$186.21
Quartz Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $467.74 / $2,818.38	Professional		$275.42	$467.74	$2,818.38
Security Health Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $1,096.48 / $1,659.59	Professional		$588.84	$1,096.48	$1,659.59
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 $275.42 / $501.19 / $1,318.26	Professional		$275.42	$501.19	$1,318.26