Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $630.96 / $1,905.46	Facility		$295.12	$630.96	$1,905.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $331.13 / $776.25	Professional		$275.42	$331.13	$776.25
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 $316.23 / $575.44 / $1,445.44	Professional		$316.23	$575.44	$1,445.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,071.52 / $1,698.24	Facility		$912.01	$1,071.52	$1,698.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $933.25 / $1,584.89	Professional		$380.19	$933.25	$1,584.89
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $446.68 / $3,162.28	Facility		$295.12	$446.68	$3,162.28
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $758.58 / $954.99	Professional		$549.54	$758.58	$954.99
Medica Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $478.63 / $1,513.56	Facility		$302.00	$478.63	$1,513.56
Medica Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $630.96 / $2,570.40	Professional		$323.59	$630.96	$2,570.40
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 $562.34 / $891.25 / $1,258.93	Professional		$562.34	$891.25	$1,258.93
Quartz Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $794.33 / $1,995.26	Facility		$263.03	$794.33	$1,995.26
Quartz Facility/Professional Facility Modifier 54 Low / Median / High Price $549.54 / $549.54 / $1,318.26	Facility	54	$549.54	$549.54	$1,318.26
Quartz Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $1,584.89 / $2,511.89	Professional		$537.03	$1,584.89	$2,511.89
Security Health Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $1,949.84 / $2,187.76	Professional		$478.63	$1,949.84	$2,187.76
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 $295.12 / $457.09 / $1,258.93	Professional		$295.12	$457.09	$1,258.93