Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $851.14 / $14,454.40	Facility		$398.11	$851.14	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $416.87 / $977.24	Professional		$371.54	$416.87	$977.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $4,897.79 / $7,585.78	Facility		$3,311.31	$4,897.79	$7,585.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $794.33 / $1,995.26	Professional		$389.05	$794.33	$1,995.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,258.93 / $1,995.26	Facility		$1,071.52	$1,258.93	$1,995.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $1,659.59 / $1,905.46	Professional		$524.81	$1,659.59	$1,905.46
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $794.33 / $5,754.40	Facility		$398.11	$794.33	$5,754.40
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,000.00 / $1,288.25	Professional		$741.31	$1,000.00	$1,288.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $851.14 / $8,128.31	Facility		$407.38	$851.14	$8,128.31
Medica Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $707.95 / $3,019.95	Professional		$380.19	$707.95	$3,019.95
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 $630.96 / $954.99 / $1,445.44	Professional		$630.96	$954.99	$1,445.44
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $3,235.94 / $4,786.30	Facility		$1,737.80	$3,235.94	$4,786.30
Quartz Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,905.46 / $3,019.95	Professional		$724.44	$1,905.46	$3,019.95
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $1,318.26	Professional		$1,318.26	$1,318.26	$1,318.26
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $2,238.72 / $2,630.27	Professional		$1,122.02	$2,238.72	$2,630.27
United Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $7,413.10 / $9,120.11	Facility		$4,786.30	$7,413.10	$9,120.11
United Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $588.84 / $1,659.59	Professional		$380.19	$588.84	$1,659.59