Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $446.68 / $1,122.02	Facility		$295.12	$446.68	$1,122.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $389.05 / $812.83	Professional		$281.84	$389.05	$812.83
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 $309.03 / $588.84 / $1,445.44	Professional		$309.03	$588.84	$1,445.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,071.52 / $1,698.24	Facility		$912.01	$1,071.52	$1,698.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $1,000.00 / $1,584.89	Professional		$371.54	$1,000.00	$1,584.89
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $446.68 / $3,162.28	Facility		$288.40	$446.68	$3,162.28
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $776.25 / $954.99	Professional		$575.44	$776.25	$954.99
Medica Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $501.19 / $1,445.44	Facility		$288.40	$501.19	$1,445.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $616.60 / $2,570.40	Professional		$309.03	$616.60	$2,570.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $363.08	Professional		$32.36	$33.11	$363.08
Quartz Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $1,023.29 / $1,412.54	Professional		$660.69	$1,023.29	$1,412.54
Quartz Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $794.33 / $1,995.26	Facility		$263.03	$794.33	$1,995.26
Quartz Facility/Professional Facility Modifier 52 Low / Median / High Price $645.65 / $645.65 / $1,513.56	Facility	52	$645.65	$645.65	$1,513.56
Quartz Facility/Professional Facility Modifier 54 Low / Median / High Price $562.34 / $562.34 / $1,318.26	Facility	54	$562.34	$562.34	$1,318.26
Quartz Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $1,513.56 / $2,511.89	Professional		$549.54	$1,513.56	$2,511.89
Security Health Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $1,949.84 / $2,187.76	Professional		$501.19	$1,949.84	$2,187.76
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 $295.12 / $457.09 / $1,230.27	Professional		$295.12	$457.09	$1,230.27