Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $691.83 / $3,090.30	Facility		$316.23	$691.83	$3,090.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $426.58 / $954.99	Professional		$302.00	$426.58	$954.99
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $7,943.28 / $12,589.25	Facility		$5,011.87	$7,943.28	$12,589.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $660.69 / $1,737.80	Professional		$436.52	$660.69	$1,737.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,412.54 / $2,344.23	Facility		$1,202.26	$1,412.54	$2,344.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $1,230.27 / $2,089.30	Professional		$501.19	$1,230.27	$2,089.30
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $575.44 / $3,548.13	Facility		$316.23	$575.44	$3,548.13
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $891.25 / $1,258.93	Professional		$616.60	$891.25	$1,258.93
Medica Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $660.69 / $7,762.47	Facility		$323.59	$660.69	$7,762.47
Medica Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $977.24 / $3,467.37	Professional		$478.63	$977.24	$3,467.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $446.68	Professional		$32.36	$33.11	$446.68
Quartz Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $1,047.13 / $1,584.89	Professional		$616.60	$1,047.13	$1,584.89
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $6,025.60 / $8,912.51	Facility		$3,235.94	$6,025.60	$8,912.51
Quartz Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $2,290.87 / $3,630.78	Professional		$588.84	$2,290.87	$3,630.78
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $1,479.11	Professional		$1,047.13	$1,047.13	$1,479.11
Security Health Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $2,089.30 / $2,884.03	Professional		$204.17	$2,089.30	$2,884.03
United Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $7,413.10 / $9,120.11	Facility		$4,897.79	$7,413.10	$9,120.11
United Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $645.65 / $1,698.24	Professional		$371.54	$645.65	$1,698.24