Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $1,000.00 / $6,456.54	Facility		$478.63	$1,000.00	$6,456.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $588.84 / $1,348.96	Professional		$457.09	$588.84	$1,348.96
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 $562.34 / $977.24 / $2,454.71	Professional		$562.34	$977.24	$2,454.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $1,862.09 / $3,019.95	Facility		$1,621.81	$1,862.09	$3,019.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $1,621.81 / $2,818.38	Professional		$616.60	$1,621.81	$2,818.38
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $776.25 / $4,677.35	Facility		$489.78	$776.25	$4,677.35
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,230.27 / $1,659.59	Professional		$891.25	$1,230.27	$1,659.59
Medica Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $891.25 / $1,659.59	Facility		$501.19	$891.25	$1,659.59
Medica Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $1,174.90 / $4,365.16	Professional		$549.54	$1,174.90	$4,365.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $645.65	Professional		$32.36	$33.11	$645.65
Quartz Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,380.38 / $1,995.26	Professional		$831.76	$1,380.38	$1,995.26
Quartz Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $1,258.93 / $3,311.31	Facility		$562.34	$1,258.93	$3,311.31
Quartz Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $2,818.38 / $4,265.80	Professional		$870.96	$2,818.38	$4,265.80
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,621.81 / $1,995.26	Professional		$1,621.81	$1,621.81	$1,995.26
Security Health Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $3,090.30 / $3,801.89	Professional		$190.55	$3,090.30	$3,801.89
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 $501.19 / $812.83 / $2,187.76	Professional		$501.19	$812.83	$2,187.76