Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $562.34 / $1,905.46	Facility		$257.04	$562.34	$1,905.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $302.00 / $831.76	Professional		$239.88	$302.00	$831.76
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 $269.15 / $512.86 / $1,258.93	Professional		$269.15	$512.86	$1,258.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $912.01 / $1,479.11	Facility		$794.33	$912.01	$1,479.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $870.96 / $1,380.38	Professional		$316.23	$870.96	$1,380.38
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $389.05 / $3,162.28	Facility		$263.03	$389.05	$3,162.28
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $676.08 / $831.76	Professional		$501.19	$676.08	$831.76
Medica Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $407.38 / $1,513.56	Facility		$263.03	$407.38	$1,513.56
Medica Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $537.03 / $2,187.76	Professional		$275.42	$537.03	$2,187.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $323.59	Professional		$32.36	$33.11	$323.59
Quartz Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $776.25 / $1,071.52	Professional		$489.78	$776.25	$1,071.52
Quartz Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $1,819.70 / $1,819.70	Facility		$691.83	$1,819.70	$1,819.70
Quartz Facility/Professional Facility Modifier 54 Low / Median / High Price $489.78 / $489.78 / $1,148.15	Facility	54	$489.78	$489.78	$1,148.15
Quartz Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $1,348.96 / $2,137.96	Professional		$478.63	$1,348.96	$2,137.96
Security Health Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $1,698.24 / $1,905.46	Professional		$380.19	$1,698.24	$1,905.46
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 $251.19 / $398.11 / $1,071.52	Professional		$251.19	$398.11	$1,071.52