Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $363.08 / $741.31	Facility		$218.78	$363.08	$741.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $426.58 / $1,174.90	Professional		$288.40	$426.58	$1,174.90
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 $323.59 / $602.56 / $1,513.56	Professional		$323.59	$602.56	$1,513.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,096.48 / $1,737.80	Facility		$933.25	$1,096.48	$1,737.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $1,023.29 / $1,819.70	Professional		$389.05	$1,023.29	$1,819.70
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $478.63 / $3,162.28	Facility		$302.00	$478.63	$3,162.28
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $776.25 / $1,000.00	Professional		$588.84	$776.25	$1,000.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $512.86 / $1,513.56	Facility		$302.00	$512.86	$1,513.56
Medica Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $660.69 / $2,630.27	Professional		$346.74	$660.69	$2,630.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $398.11	Professional		$32.36	$33.11	$398.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $933.25 / $1,348.96	Professional		$575.44	$933.25	$1,348.96
Quartz Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $812.83 / $2,951.21	Facility		$263.03	$812.83	$2,951.21
Quartz Facility/Professional Facility Modifier 54 Low / Median / High Price $575.44 / $575.44 / $1,348.96	Facility	54	$575.44	$575.44	$1,348.96
Quartz Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $1,621.81 / $2,570.40	Professional		$562.34	$1,621.81	$2,570.40
Security Health Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $1,995.26 / $2,238.72	Professional		$380.19	$1,995.26	$2,238.72
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 $316.23 / $489.78 / $1,288.25	Professional		$316.23	$489.78	$1,288.25