Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $1,023.29 / $1,949.84	Facility		$478.63	$1,023.29	$1,949.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $512.86 / $1,288.25	Professional		$446.68	$512.86	$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 $489.78 / $933.25 / $2,344.23	Professional		$489.78	$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 $602.56 / $1,584.89 / $2,454.71	Professional		$602.56	$1,584.89	$2,454.71
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $741.31 / $3,162.28	Facility		$489.78	$741.31	$3,162.28
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,230.27 / $1,548.82	Professional		$912.01	$1,230.27	$1,548.82
Medica Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $741.31 / $1,659.59	Facility		$501.19	$741.31	$1,659.59
Medica Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $1,071.52 / $3,890.45	Professional		$512.86	$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 $851.14 / $1,348.96 / $1,905.46	Professional		$851.14	$1,348.96	$1,905.46
Quartz Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $1,288.25 / $3,090.30	Facility		$263.03	$1,288.25	$3,090.30
Quartz Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $2,454.71 / $3,890.45	Professional		$851.14	$2,454.71	$3,890.45
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,584.89 / $1,698.24	Professional		$1,584.89	$1,584.89	$1,698.24
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $3,162.28 / $3,388.44	Professional		$1,096.48	$3,162.28	$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 $489.78 / $741.31 / $2,041.74	Professional		$489.78	$741.31	$2,041.74