Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $676.08 / $6,456.54	Facility		$323.59	$676.08	$6,456.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $426.58 / $954.99	Professional		$309.03	$426.58	$954.99
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $4,897.79 / $9,332.54	Facility		$3,311.31	$4,897.79	$9,332.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $676.08 / $1,698.24	Professional		$407.38	$676.08	$1,698.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,412.54 / $2,344.23	Facility		$1,202.26	$1,412.54	$2,344.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $1,202.26 / $2,089.30	Professional		$467.74	$1,202.26	$2,089.30
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $549.54 / $4,677.35	Facility		$331.13	$549.54	$4,677.35
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $891.25 / $1,230.27	Professional		$602.56	$891.25	$1,230.27
Medica Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $630.96 / $12,882.50	Facility		$331.13	$630.96	$12,882.50
Medica Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $870.96 / $3,388.44	Professional		$426.58	$870.96	$3,388.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $436.52	Professional		$32.36	$33.11	$436.52
Quartz Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $977.24 / $1,479.11	Professional		$575.44	$977.24	$1,479.11
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $5,370.32 / $7,943.28	Facility		$2,884.03	$5,370.32	$7,943.28
Quartz Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $2,089.30 / $3,235.94	Professional		$588.84	$2,089.30	$3,235.94
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,071.52 / $1,479.11	Professional		$1,071.52	$1,071.52	$1,479.11
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $2,089.30 / $2,884.03	Professional		$1,318.26	$2,089.30	$2,884.03
United Facility/Professional Facility Modifier Low / Median / High Price $7,585.78 / $12,022.64 / $16,218.10	Facility		$7,585.78	$12,022.64	$16,218.10
United Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $602.56 / $1,548.82	Professional		$354.81	$602.56	$1,548.82