Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $549.54 / $1,122.02	Facility		$218.78	$549.54	$1,122.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $549.54 / $1,380.38	Professional		$457.09	$549.54	$1,380.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $4,786.30 / $7,585.78	Facility		$3,311.31	$4,786.30	$7,585.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $954.99 / $2,398.83	Professional		$512.86	$954.99	$2,398.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $1,659.59 / $2,691.53	Facility		$1,445.44	$1,659.59	$2,691.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $1,584.89 / $2,511.89	Professional		$630.96	$1,584.89	$2,511.89
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 $891.25 / $1,230.27 / $1,621.81	Professional		$891.25	$1,230.27	$1,621.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $794.33 / $4,786.30	Facility		$512.86	$794.33	$4,786.30
Medica Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $1,071.52 / $4,073.80	Professional		$562.34	$1,071.52	$4,073.80
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 $891.25 / $1,445.44 / $1,995.26	Professional		$891.25	$1,445.44	$1,995.26
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $4,786.30 / $4,786.30	Facility		$3,235.94	$4,786.30	$4,786.30
Quartz Facility/Professional Facility Modifier 54 Low / Median / High Price $2,238.72 / $2,238.72 / $3,311.31	Facility	54	$2,238.72	$2,238.72	$3,311.31
Quartz Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $2,570.40 / $3,981.07	Professional		$870.96	$2,570.40	$3,981.07
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $3,162.28 / $3,467.37	Professional		$1,096.48	$3,162.28	$3,467.37
United Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $3,801.89 / $6,456.54	Facility		$2,884.03	$3,801.89	$6,456.54
United Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $776.25 / $2,089.30	Professional		$512.86	$776.25	$2,089.30