Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $645.65 / $1,905.46	Facility		$208.93	$645.65	$1,905.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $630.96 / $1,479.11	Professional		$524.81	$630.96	$1,479.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $4,570.88 / $7,079.46	Facility		$2,344.23	$4,570.88	$7,079.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $1,174.90 / $2,818.38	Professional		$588.84	$1,174.90	$2,818.38
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 $707.95 / $1,862.09 / $2,951.21	Professional		$707.95	$1,862.09	$2,951.21
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $870.96 / $3,162.28	Facility		$562.34	$870.96	$3,162.28
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,445.44 / $1,862.09	Professional		$1,071.52	$1,445.44	$1,862.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $891.25 / $1,778.28	Facility		$562.34	$891.25	$1,778.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $1,202.26 / $4,677.35	Professional		$645.65	$1,202.26	$4,677.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $741.31	Professional		$32.36	$33.11	$741.31
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,621.81 / $2,290.87	Professional		$1,023.29	$1,621.81	$2,290.87
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $4,786.30 / $4,786.30	Facility		$3,235.94	$4,786.30	$4,786.30
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $2,951.21 / $4,570.88	Professional		$1,023.29	$2,951.21	$4,570.88
Security Health Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $3,715.35 / $4,073.80	Professional		$831.76	$3,715.35	$4,073.80
United Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,584.89 / $2,187.76	Facility		$1,023.29	$1,584.89	$2,187.76
United Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $891.25 / $2,398.83	Professional		$588.84	$891.25	$2,398.83