Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $758.58 / $1,905.46	Facility		$354.81	$758.58	$1,905.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $389.05 / $933.25	Professional		$338.84	$389.05	$933.25
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 $371.54 / $707.95 / $1,737.80	Professional		$371.54	$707.95	$1,737.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,230.27 / $1,995.26	Facility		$1,071.52	$1,230.27	$1,995.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $1,148.15 / $1,862.09	Professional		$457.09	$1,148.15	$1,862.09
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $524.81 / $3,162.28	Facility		$331.13	$524.81	$3,162.28
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $912.01 / $1,148.15	Professional		$691.83	$912.01	$1,148.15
Medica Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $562.34 / $1,548.82	Facility		$331.13	$562.34	$1,548.82
Medica Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $741.31 / $2,951.21	Professional		$371.54	$741.31	$2,951.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $457.09	Professional		$32.36	$33.11	$457.09
Quartz Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $1,023.29 / $1,445.44	Professional		$645.65	$1,023.29	$1,445.44
Quartz Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $954.99 / $2,290.87	Facility		$263.03	$954.99	$2,290.87
Quartz Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $1,862.09 / $2,951.21	Professional		$645.65	$1,862.09	$2,951.21
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,174.90 / $1,288.25	Professional		$1,174.90	$1,174.90	$1,288.25
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $2,344.23 / $2,570.40	Professional		$1,122.02	$2,344.23	$2,570.40
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 $354.81 / $549.54 / $1,513.56	Professional		$354.81	$549.54	$1,513.56