Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $1,047.13 / $1,949.84	Facility		$489.78	$1,047.13	$1,949.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $537.03 / $1,288.25	Professional		$467.74	$537.03	$1,288.25
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 / $977.24 / $2,398.83	Professional		$501.19	$977.24	$2,398.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,621.81 / $2,630.27	Facility		$1,412.54	$1,621.81	$2,630.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $1,548.82 / $2,398.83	Professional		$616.60	$1,548.82	$2,398.83
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $758.58 / $3,162.28	Facility		$501.19	$758.58	$3,162.28
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,258.93 / $1,621.81	Professional		$933.25	$1,258.93	$1,621.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $741.31 / $1,698.24	Facility		$512.86	$741.31	$1,698.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $1,096.48 / $3,981.07	Professional		$549.54	$1,096.48	$3,981.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $645.65	Professional		$32.36	$33.11	$645.65
Quartz Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,380.38 / $1,905.46	Professional		$870.96	$1,380.38	$1,905.46
Quartz Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $1,318.26 / $3,162.28	Facility		$263.03	$1,318.26	$3,162.28
Quartz Facility/Professional Facility Modifier 54 Low / Median / High Price $912.01 / $912.01 / $2,187.76	Facility	54	$912.01	$912.01	$2,187.76
Quartz Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $2,511.89 / $3,890.45	Professional		$851.14	$2,511.89	$3,890.45
Security Health Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $3,235.94 / $3,388.44	Professional		$954.99	$3,235.94	$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 $512.86 / $758.58 / $2,089.30	Professional		$512.86	$758.58	$2,089.30