Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $812.83 / $1,584.89	Facility		$380.19	$812.83	$1,584.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $416.87 / $977.24	Professional		$354.81	$416.87	$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 $363.08 / $741.31 / $1,862.09	Professional		$363.08	$741.31	$1,862.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,348.96 / $2,137.96	Facility		$1,148.15	$1,348.96	$2,137.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $1,202.26 / $2,187.76	Professional		$457.09	$1,202.26	$2,187.76
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $549.54 / $3,162.28	Facility		$363.08	$549.54	$3,162.28
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $977.24 / $1,202.26	Professional		$724.44	$977.24	$1,202.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $602.56 / $1,584.89	Facility		$363.08	$602.56	$1,584.89
Medica Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $741.31 / $3,235.94	Professional		$371.54	$741.31	$3,235.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $426.58	Professional		$32.36	$33.11	$426.58
Quartz Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,096.48 / $1,548.82	Professional		$691.83	$1,096.48	$1,548.82
Quartz Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $1,023.29 / $2,454.71	Facility		$263.03	$1,023.29	$2,454.71
Quartz Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,819.70 / $3,162.28	Professional		$691.83	$1,819.70	$3,162.28
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,258.93 / $1,380.38	Professional		$1,258.93	$1,258.93	$1,380.38
Security Health Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $2,511.89 / $2,754.23	Professional		$346.74	$2,511.89	$2,754.23
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 $354.81 / $549.54 / $1,479.11	Professional		$354.81	$549.54	$1,479.11