Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $1,258.93 / $3,090.30	Facility		$354.81	$1,258.93	$3,090.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $537.03 / $1,202.26	Professional		$346.74	$537.03	$1,202.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $7,762.47 / $12,589.25	Facility		$3,981.07	$7,762.47	$12,589.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $794.33 / $1,905.46	Professional		$489.78	$794.33	$1,905.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $1,949.84 / $3,090.30	Facility		$1,659.59	$1,949.84	$3,090.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $1,548.82 / $2,754.23	Professional		$588.84	$1,548.82	$2,754.23
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $707.95 / $3,548.13	Facility		$354.81	$707.95	$3,548.13
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,122.02 / $1,698.24	Professional		$741.31	$1,122.02	$1,698.24
Medica Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $741.31 / $5,128.61	Facility		$371.54	$741.31	$5,128.61
Medica Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $1,071.52 / $4,570.88	Professional		$562.34	$1,071.52	$4,570.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $478.63	Professional		$32.36	$33.11	$478.63
Quartz Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,288.25 / $2,187.76	Professional		$758.58	$1,288.25	$2,187.76
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $4,570.88 / $6,760.83	Facility		$2,454.71	$4,570.88	$6,760.83
Quartz Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $2,630.27 / $4,466.84	Professional		$724.44	$2,630.27	$4,466.84
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,174.90 / $1,778.28	Professional		$1,174.90	$1,174.90	$1,778.28
Security Health Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $2,570.40 / $3,981.07	Professional		$741.31	$2,570.40	$3,981.07
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 $398.11 / $724.44 / $1,905.46	Professional		$398.11	$724.44	$1,905.46