Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $398.11 / $6,456.54	Facility		$346.74	$398.11	$6,456.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $363.08 / $912.01	Professional		$309.03	$363.08	$912.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $4,570.88 / $7,079.46	Facility		$2,630.27	$4,570.88	$7,079.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $724.44 / $1,737.80	Professional		$354.81	$724.44	$1,737.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,071.52 / $1,737.80	Facility		$933.25	$1,071.52	$1,737.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $1,445.44 / $1,659.59	Professional		$478.63	$1,445.44	$1,659.59
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $724.44 / $3,548.13	Facility		$354.81	$724.44	$3,548.13
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $851.14 / $1,096.48	Professional		$630.96	$851.14	$1,096.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $776.25 / $4,073.80	Facility		$354.81	$776.25	$4,073.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $630.96 / $4,786.30	Professional		$354.81	$630.96	$4,786.30
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 $524.81 / $794.33 / $1,202.26	Professional		$524.81	$794.33	$1,202.26
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 $630.96 / $2,137.96 / $4,786.30	Professional		$630.96	$2,137.96	$4,786.30
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,148.15 / $1,148.15	Professional		$1,148.15	$1,148.15	$1,148.15
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,949.84 / $2,238.72	Professional		$1,000.00	$1,949.84	$2,238.72
United Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $2,884.03 / $5,011.87	Facility		$2,344.23	$2,884.03	$5,011.87
United Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $524.81 / $1,479.11	Professional		$346.74	$524.81	$1,479.11