Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $676.08 / $1,905.46	Facility		$316.23	$676.08	$1,905.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $363.08 / $851.14	Professional		$295.12	$363.08	$851.14
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 $331.13 / $616.60 / $1,548.82	Professional		$331.13	$616.60	$1,548.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,148.15 / $1,819.70	Facility		$977.24	$1,148.15	$1,819.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $1,096.48 / $1,698.24	Professional		$398.11	$1,096.48	$1,698.24
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $478.63 / $3,162.28	Facility		$281.84	$478.63	$3,162.28
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $812.83 / $1,023.29	Professional		$602.56	$812.83	$1,023.29
Medica Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $501.19 / $1,513.56	Facility		$281.84	$501.19	$1,513.56
Medica Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $660.69 / $2,691.53	Professional		$338.84	$660.69	$2,691.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $389.05	Professional		$32.36	$33.11	$389.05
Quartz Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $954.99 / $1,348.96	Professional		$602.56	$954.99	$1,348.96
Quartz Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $851.14 / $1,995.26	Facility		$263.03	$851.14	$1,995.26
Quartz Facility/Professional Facility Modifier 54 Low / Median / High Price $588.84 / $588.84 / $1,412.54	Facility	54	$588.84	$588.84	$1,412.54
Quartz Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $1,659.59 / $2,630.27	Professional		$575.44	$1,659.59	$2,630.27
Security Health Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $2,089.30 / $2,344.23	Professional		$218.78	$2,089.30	$2,344.23
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 $316.23 / $489.78 / $1,318.26	Professional		$316.23	$489.78	$1,318.26