Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $426.58 / $724.44	Facility		$239.88	$426.58	$724.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $309.03 / $707.95	Professional		$239.88	$309.03	$707.95
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 $269.15 / $512.86 / $1,288.25	Professional		$269.15	$512.86	$1,288.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $933.25 / $1,479.11	Facility		$794.33	$933.25	$1,479.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $831.76 / $1,548.82	Professional		$331.13	$831.76	$1,548.82
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $398.11 / $3,162.28	Facility		$251.19	$398.11	$3,162.28
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $676.08 / $851.14	Professional		$501.19	$676.08	$851.14
Medica Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $416.87 / $1,513.56	Facility		$251.19	$416.87	$1,513.56
Medica Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $537.03 / $2,238.72	Professional		$275.42	$537.03	$2,238.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $323.59	Professional		$32.36	$33.11	$323.59
Quartz Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $851.14 / $1,202.26	Professional		$549.54	$851.14	$1,202.26
Quartz Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $707.95 / $1,659.59	Facility		$263.03	$707.95	$1,659.59
Quartz Facility/Professional Facility Modifier 54 Low / Median / High Price $489.78 / $489.78 / $1,148.15	Facility	54	$489.78	$489.78	$1,148.15
Quartz Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $1,348.96 / $2,187.76	Professional		$478.63	$1,348.96	$2,187.76
Security Health Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $1,737.80 / $1,905.46	Professional		$190.55	$1,737.80	$1,905.46
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 $257.04 / $407.38 / $1,096.48	Professional		$257.04	$407.38	$1,096.48