Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $537.03 / $1,148.15	Facility		$263.03	$537.03	$1,148.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $346.74 / $977.24	Professional		$281.84	$346.74	$977.24
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 / $588.84 / $1,479.11	Professional		$309.03	$588.84	$1,479.11
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 $389.05 / $954.99 / $1,737.80	Professional		$389.05	$954.99	$1,737.80
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $446.68 / $3,548.13	Facility		$302.00	$446.68	$3,548.13
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $776.25 / $977.24	Professional		$575.44	$776.25	$977.24
Medica Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $478.63 / $1,513.56	Facility		$302.00	$478.63	$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 / $380.19	Professional		$32.36	$33.11	$380.19
Quartz Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $891.25 / $1,288.25	Professional		$562.34	$891.25	$1,288.25
Quartz Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $794.33 / $2,630.27	Facility		$263.03	$794.33	$2,630.27
Quartz Facility/Professional Facility Modifier 54 Low / Median / High Price $562.34 / $562.34 / $1,318.26	Facility	54	$562.34	$562.34	$1,318.26
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 $446.68 / $1,949.84 / $2,187.76	Professional		$446.68	$1,949.84	$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 / $1,258.93	Professional		$302.00	$467.74	$1,258.93