Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $676.08 / $3,090.30	Facility		$316.23	$676.08	$3,090.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $512.86 / $1,288.25	Professional		$302.00	$512.86	$1,288.25
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 $436.52 / $660.69 / $1,584.89	Professional		$436.52	$660.69	$1,584.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,584.89 / $2,570.40	Facility		$1,380.38	$1,584.89	$2,570.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $1,258.93 / $2,398.83	Professional		$489.78	$1,258.93	$2,398.83
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $602.56 / $3,548.13	Facility		$295.12	$602.56	$3,548.13
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $933.25 / $1,412.54	Professional		$602.56	$933.25	$1,412.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $645.65 / $4,786.30	Facility		$295.12	$645.65	$4,786.30
Medica Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $891.25 / $3,801.89	Professional		$309.03	$891.25	$3,801.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $407.38	Professional		$32.36	$33.11	$407.38
Quartz Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $1,071.52 / $1,819.70	Professional		$630.96	$1,071.52	$1,819.70
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $2,754.23 / $3,981.07	Facility		$1,445.44	$2,754.23	$3,981.07
Quartz Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $2,398.83 / $3,630.78	Professional		$588.84	$2,398.83	$3,630.78
Security Health Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $2,089.30 / $3,311.31	Professional		$478.63	$2,089.30	$3,311.31
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 $281.84 / $602.56 / $1,698.24	Professional		$281.84	$602.56	$1,698.24