Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $660.69 / $6,456.54	Facility		$275.42	$660.69	$6,456.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $316.23 / $812.83	Professional		$263.03	$316.23	$812.83
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 $316.23 / $575.44 / $1,584.89	Professional		$316.23	$575.44	$1,584.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,000.00 / $1,584.89	Facility		$851.14	$1,000.00	$1,584.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $954.99 / $1,513.56	Professional		$398.11	$954.99	$1,513.56
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $446.68 / $3,548.13	Facility		$281.84	$446.68	$3,548.13
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $707.95 / $954.99	Professional		$512.86	$707.95	$954.99
Medica Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $501.19 / $7,244.36	Facility		$281.84	$501.19	$7,244.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $676.08 / $3,090.30	Professional		$331.13	$676.08	$3,090.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $389.05	Professional		$32.36	$33.11	$389.05
Quartz Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $758.58 / $1,122.02	Professional		$478.63	$758.58	$1,122.02
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 Professional Modifier Low / Median / High Price $512.86 / $1,548.82 / $3,162.28	Professional		$512.86	$1,548.82	$3,162.28
Security Health Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $1,819.70 / $2,041.74	Professional		$281.84	$1,819.70	$2,041.74
United Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $7,413.10 / $9,120.11	Facility		$4,786.30	$7,413.10	$9,120.11
United Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $467.74 / $1,230.27	Professional		$302.00	$467.74	$1,230.27