Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $616.60 / $1,905.46	Facility		$288.40	$616.60	$1,905.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $316.23 / $741.31	Professional		$269.15	$316.23	$741.31
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 $295.12 / $575.44 / $1,445.44	Professional		$295.12	$575.44	$1,445.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $954.99 / $1,548.82	Facility		$812.83	$954.99	$1,548.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $912.01 / $1,513.56	Professional		$338.84	$912.01	$1,513.56
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $436.52 / $3,162.28	Facility		$302.00	$436.52	$3,162.28
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $741.31 / $933.25	Professional		$549.54	$741.31	$933.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $457.09 / $1,513.56	Facility		$302.00	$457.09	$1,513.56
Medica Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $588.84 / $2,344.23	Professional		$295.12	$588.84	$2,344.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $457.09	Professional		$32.36	$33.11	$457.09
Quartz Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $812.83 / $1,174.90	Professional		$524.81	$812.83	$1,174.90
Quartz Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $776.25 / $1,995.26	Facility		$263.03	$776.25	$1,995.26
Quartz Facility/Professional Facility Modifier 54 Low / Median / High Price $537.03 / $537.03 / $1,318.26	Facility	54	$537.03	$537.03	$1,318.26
Quartz Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $1,445.44 / $2,290.87	Professional		$501.19	$1,445.44	$2,290.87
Security Health Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $1,905.46 / $1,995.26	Professional		$549.54	$1,905.46	$1,995.26
United Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,548.82 / $1,949.84	Facility		$977.24	$1,548.82	$1,949.84
United Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $436.52 / $1,202.26	Professional		$281.84	$436.52	$1,202.26