Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $977.24 / $14,454.40	Facility		$457.09	$977.24	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $478.63 / $1,096.48	Professional		$426.58	$478.63	$1,096.48
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 $457.09 / $954.99 / $2,290.87	Professional		$457.09	$954.99	$2,290.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,445.44 / $2,344.23	Facility		$1,258.93	$1,445.44	$2,344.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $1,949.84 / $2,187.76	Professional		$616.60	$1,949.84	$2,187.76
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $891.25 / $5,495.41	Facility		$457.09	$891.25	$5,495.41
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,148.15 / $1,412.54	Professional		$851.14	$1,148.15	$1,412.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $977.24 / $5,248.07	Facility		$457.09	$977.24	$5,248.07
Medica Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $831.76 / $3,548.13	Professional		$457.09	$831.76	$3,548.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $70.79	Professional		$32.36	$33.11	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,096.48 / $1,659.59	Professional		$724.44	$1,096.48	$1,659.59
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $3,801.89 / $5,623.41	Facility		$1,995.26	$3,801.89	$5,623.41
Quartz Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $2,238.72 / $3,467.37	Professional		$851.14	$2,238.72	$3,467.37
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,513.56 / $1,513.56	Professional		$1,513.56	$1,513.56	$1,513.56
Security Health Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $2,570.40 / $3,019.95	Professional		$933.25	$2,570.40	$3,019.95
United Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $3,801.89 / $6,606.93	Facility		$2,884.03	$3,801.89	$6,606.93
United Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $691.83 / $1,905.46	Professional		$446.68	$691.83	$1,905.46