Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $1,000.00 / $1,949.84	Facility		$467.74	$1,000.00	$1,949.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $537.03 / $1,348.96	Professional		$446.68	$537.03	$1,348.96
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 $501.19 / $933.25 / $2,344.23	Professional		$501.19	$933.25	$2,344.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,621.81 / $2,570.40	Facility		$1,380.38	$1,621.81	$2,570.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $1,621.81 / $2,454.71	Professional		$616.60	$1,621.81	$2,454.71
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $758.58 / $3,162.28	Facility		$489.78	$758.58	$3,162.28
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,202.26 / $1,584.89	Professional		$891.25	$1,202.26	$1,584.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $758.58 / $1,737.80	Facility		$501.19	$758.58	$1,737.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $1,071.52 / $3,890.45	Professional		$537.03	$1,071.52	$3,890.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $616.60	Professional		$32.36	$33.11	$616.60
Quartz Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,348.96 / $1,905.46	Professional		$831.76	$1,348.96	$1,905.46
Quartz Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $1,258.93 / $3,019.95	Facility		$263.03	$1,258.93	$3,019.95
Quartz Facility/Professional Facility Modifier 54 Low / Median / High Price $870.96 / $870.96 / $2,137.96	Facility	54	$870.96	$870.96	$2,137.96
Quartz Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $2,511.89 / $3,801.89	Professional		$851.14	$2,511.89	$3,801.89
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $3,090.30 / $3,388.44	Professional		$1,288.25	$3,090.30	$3,388.44
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 $501.19 / $741.31 / $2,041.74	Professional		$501.19	$741.31	$2,041.74