Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $676.08 / $3,090.30	Facility		$323.59	$676.08	$3,090.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $467.74 / $1,148.15	Professional		$309.03	$467.74	$1,148.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $4,570.88 / $7,079.46	Facility		$2,630.27	$4,570.88	$7,079.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $630.96 / $1,905.46	Professional		$407.38	$630.96	$1,905.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,445.44 / $2,290.87	Facility		$1,230.27	$1,445.44	$2,290.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $1,380.38 / $2,238.72	Professional		$562.34	$1,380.38	$2,238.72
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $954.99 / $6,918.31	Facility		$371.54	$954.99	$6,918.31
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $977.24 / $1,380.38	Professional		$707.95	$977.24	$1,380.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $2,754.23 / $5,754.40	Facility		$371.54	$2,754.23	$5,754.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $812.83 / $2,454.71	Professional		$446.68	$812.83	$2,454.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $575.44	Professional		$32.36	$33.11	$575.44
Quartz Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $1,096.48 / $1,778.28	Professional		$575.44	$1,096.48	$1,778.28
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $2,754.23 / $3,981.07	Facility		$2,754.23	$2,754.23	$3,981.07
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $275.42 / $275.42 / $398.11	Facility	AS	$275.42	$275.42	$398.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $1,023.29 / $3,388.44	Professional		$501.19	$1,023.29	$3,388.44
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $2,089.30 / $3,019.95	Professional		$1,000.00	$2,089.30	$3,019.95
United Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $3,801.89 / $6,456.54	Facility		$2,884.03	$3,801.89	$6,456.54
United Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $645.65 / $1,819.70	Professional		$371.54	$645.65	$1,819.70