Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $912.01 / $2,511.89	Facility		$489.78	$912.01	$2,511.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $549.54 / $1,288.25	Professional		$416.87	$549.54	$1,288.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $4,570.88 / $7,079.46	Facility		$2,344.23	$4,570.88	$7,079.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $912.01 / $2,137.96	Professional		$467.74	$912.01	$2,137.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,548.82 / $2,454.71	Facility		$1,318.26	$1,548.82	$2,454.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $1,445.44 / $2,344.23	Professional		$575.44	$1,445.44	$2,344.23
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $691.83 / $3,162.28	Facility		$457.09	$691.83	$3,162.28
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,122.02 / $1,445.44	Professional		$794.33	$1,122.02	$1,445.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $758.58 / $3,630.78	Facility		$457.09	$758.58	$3,630.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $933.25 / $3,715.35	Professional		$501.19	$933.25	$3,715.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $575.44	Professional		$32.36	$33.11	$575.44
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 $1,737.80 / $3,235.94 / $4,786.30	Facility		$1,737.80	$3,235.94	$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 $794.33 / $2,344.23 / $3,630.78	Professional		$794.33	$2,344.23	$3,630.78
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $2,818.38 / $3,235.94	Professional		$1,023.29	$2,818.38	$3,235.94
United Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $2,884.03 / $5,011.87	Facility		$2,344.23	$2,884.03	$5,011.87
United Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $707.95 / $1,862.09	Professional		$457.09	$707.95	$1,862.09