Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $707.95 / $954.99	Facility		$309.03	$707.95	$954.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $338.84 / $851.14	Professional		$288.40	$338.84	$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 $309.03 / $602.56 / $1,513.56	Professional		$309.03	$602.56	$1,513.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,071.52 / $1,698.24	Facility		$912.01	$1,071.52	$1,698.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $1,047.13 / $1,584.89	Professional		$371.54	$1,047.13	$1,584.89
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $512.86 / $3,162.28	Facility		$316.23	$512.86	$3,162.28
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $794.33 / $1,000.00	Professional		$588.84	$794.33	$1,000.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $588.84 / $1,513.56	Facility		$316.23	$588.84	$1,513.56
Medica Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $630.96 / $2,511.89	Professional		$323.59	$630.96	$2,511.89
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 $588.84 / $891.25 / $1,258.93	Professional		$588.84	$891.25	$1,258.93
Quartz Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $831.76 / $3,890.45	Facility		$263.03	$831.76	$3,890.45
Quartz Facility/Professional Facility Modifier 54 Low / Median / High Price $575.44 / $575.44 / $1,380.38	Facility	54	$575.44	$575.44	$1,380.38
Quartz Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $1,548.82 / $2,454.71	Professional		$549.54	$1,548.82	$2,454.71
Security Health Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,995.26 / $2,187.76	Professional		$912.01	$1,995.26	$2,187.76
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 $302.00 / $467.74 / $1,288.25	Professional		$302.00	$467.74	$1,288.25