Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $616.60 / $1,905.46	Facility		$281.84	$616.60	$1,905.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $323.59 / $831.76	Professional		$263.03	$323.59	$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 $295.12 / $562.34 / $1,380.38	Professional		$295.12	$562.34	$1,380.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $977.24 / $1,584.89	Facility		$831.76	$977.24	$1,584.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $912.01 / $1,479.11	Professional		$354.81	$912.01	$1,479.11
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $436.52 / $3,162.28	Facility		$281.84	$436.52	$3,162.28
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $741.31 / $933.25	Professional		$549.54	$741.31	$933.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $467.74 / $1,513.56	Facility		$281.84	$467.74	$1,513.56
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $1,479.11 / $1,479.11 / $1,479.11	Facility	54	$1,479.11	$1,479.11	$1,479.11
Medica Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $588.84 / $2,344.23	Professional		$309.03	$588.84	$2,344.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $363.08	Professional		$32.36	$33.11	$363.08
Quartz Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $812.83 / $1,148.15	Professional		$524.81	$812.83	$1,148.15
Quartz Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $758.58 / $1,819.70	Facility		$263.03	$758.58	$1,819.70
Quartz Facility/Professional Facility Modifier 54 Low / Median / High Price $537.03 / $537.03 / $1,258.93	Facility	54	$537.03	$537.03	$1,258.93
Quartz Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $1,479.11 / $2,290.87	Professional		$512.86	$1,479.11	$2,290.87
Security Health Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $1,862.09 / $2,041.74	Professional		$616.60	$1,862.09	$2,041.74
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 $281.84 / $446.68 / $1,202.26	Professional		$281.84	$446.68	$1,202.26