Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $562.34 / $1,905.46	Facility		$263.03	$562.34	$1,905.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $288.40 / $724.44	Professional		$245.47	$288.40	$724.44
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 $263.03 / $512.86 / $1,288.25	Professional		$263.03	$512.86	$1,288.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $870.96 / $1,380.38	Facility		$741.31	$870.96	$1,380.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $870.96 / $1,318.26	Professional		$323.59	$870.96	$1,318.26
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $389.05 / $3,162.28	Facility		$251.19	$389.05	$3,162.28
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $676.08 / $851.14	Professional		$501.19	$676.08	$851.14
Medica Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $416.87 / $1,513.56	Facility		$251.19	$416.87	$1,513.56
Medica Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $537.03 / $2,089.30	Professional		$263.03	$537.03	$2,089.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $331.13	Professional		$32.36	$33.11	$331.13
Quartz Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $724.44 / $1,023.29	Professional		$489.78	$724.44	$1,023.29
Quartz Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $707.95 / $1,995.26	Facility		$263.03	$707.95	$1,995.26
Quartz Facility/Professional Facility Modifier 54 Low / Median / High Price $489.78 / $489.78 / $1,174.90	Facility	54	$489.78	$489.78	$1,174.90
Quartz Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $1,288.25 / $2,041.74	Professional		$457.09	$1,288.25	$2,041.74
Security Health Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $1,737.80 / $1,778.28	Professional		$204.17	$1,737.80	$1,778.28
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 $257.04 / $398.11 / $1,071.52	Professional		$257.04	$398.11	$1,071.52