Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $524.81 / $1,905.46	Facility		$288.40	$524.81	$1,905.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $398.11 / $1,000.00	Professional		$281.84	$398.11	$1,000.00
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 $288.40 / $575.44 / $1,412.54	Professional		$288.40	$575.44	$1,412.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,000.00 / $1,584.89	Facility		$851.14	$1,000.00	$1,584.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $977.24 / $1,479.11	Professional		$380.19	$977.24	$1,479.11
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $457.09 / $3,162.28	Facility		$302.00	$457.09	$3,162.28
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $741.31 / $933.25	Professional		$562.34	$741.31	$933.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $501.19 / $1,513.56	Facility		$302.00	$501.19	$1,513.56
Medica Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $645.65 / $2,344.23	Professional		$331.13	$645.65	$2,344.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $371.54	Professional		$32.36	$33.11	$371.54
Quartz Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $831.76 / $1,148.15	Professional		$537.03	$831.76	$1,148.15
Quartz Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,995.26 / $1,995.26	Facility		$776.25	$1,995.26	$1,995.26
Quartz Facility/Professional Facility Modifier 54 Low / Median / High Price $549.54 / $549.54 / $1,288.25	Facility	54	$549.54	$549.54	$1,288.25
Quartz Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $1,548.82 / $2,344.23	Professional		$512.86	$1,548.82	$2,344.23
Security Health Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $1,905.46 / $2,041.74	Professional		$478.63	$1,905.46	$2,041.74
United Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,584.89 / $1,949.84	Facility		$954.99	$1,584.89	$1,949.84
United Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $467.74 / $1,202.26	Professional		$316.23	$467.74	$1,202.26