Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $707.95 / $14,454.40	Facility		$338.84	$707.95	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $346.74 / $870.96	Professional		$316.23	$346.74	$870.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $7,762.47 / $12,589.25	Facility		$3,981.07	$7,762.47	$12,589.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $660.69 / $1,778.28	Professional		$331.13	$660.69	$1,778.28
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 $467.74 / $1,445.44 / $1,778.28	Professional		$467.74	$1,445.44	$1,778.28
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $676.08 / $3,981.07	Facility		$338.84	$676.08	$3,981.07
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $831.76 / $1,071.52	Professional		$616.60	$831.76	$1,071.52
Medica Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $707.95 / $5,754.40	Facility		$346.74	$707.95	$5,754.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $588.84 / $2,884.03	Professional		$331.13	$588.84	$2,884.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $70.79	Professional		$32.36	$33.11	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $812.83 / $1,230.27	Professional		$537.03	$812.83	$1,230.27
Quartz Facility/Professional Facility Modifier Low / Median / High Price $6,025.60 / $8,912.51 / $8,912.51	Facility		$6,025.60	$8,912.51	$8,912.51
Quartz Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $1,621.81 / $2,884.03	Professional		$616.60	$1,621.81	$2,884.03
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $1,096.48	Professional		$1,096.48	$1,096.48	$1,096.48
Security Health Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,862.09 / $2,187.76	Professional		$933.25	$1,862.09	$2,187.76
United Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $3,801.89 / $6,606.93	Facility		$2,884.03	$3,801.89	$6,606.93
United Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $489.78 / $1,380.38	Professional		$323.59	$489.78	$1,380.38