Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $1,047.13 / $3,090.30	Facility		$489.78	$1,047.13	$3,090.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $537.03 / $1,288.25	Professional		$457.09	$537.03	$1,288.25
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 $512.86 / $1,023.29 / $2,398.83	Professional		$512.86	$1,023.29	$2,398.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $1,698.24 / $2,754.23	Facility		$1,445.44	$1,698.24	$2,754.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $1,621.81 / $2,570.40	Professional		$616.60	$1,621.81	$2,570.40
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $724.44 / $3,548.13	Facility		$478.63	$724.44	$3,548.13
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,258.93 / $1,584.89	Professional		$933.25	$1,258.93	$1,584.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $776.25 / $1,778.28	Facility		$478.63	$776.25	$1,778.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $1,047.13 / $4,073.80	Professional		$537.03	$1,047.13	$4,073.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $630.96	Professional		$32.36	$33.11	$630.96
Quartz Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,412.54 / $1,995.26	Professional		$870.96	$1,412.54	$1,995.26
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $3,235.94 / $4,786.30	Facility		$1,737.80	$3,235.94	$4,786.30
Quartz Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $2,570.40 / $4,073.80	Professional		$891.25	$2,570.40	$4,073.80
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,621.81 / $1,778.28	Professional		$1,621.81	$1,621.81	$1,778.28
Security Health Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $3,235.94 / $3,548.13	Professional		$630.96	$3,235.94	$3,548.13
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 $512.86 / $758.58 / $2,089.30	Professional		$512.86	$758.58	$2,089.30